Healthcare Provider Details

I. General information

NPI: 1922019272
Provider Name (Legal Business Name): NANCY SCHWABAUER CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

429 N YORK ST
ELMHURST IL
60126-2003
US

IV. Provider business mailing address

1919 S HIGHLAND AVE #B202-ATTN JAN LEWIS
LOMBARD IL
60148-6153
US

V. Phone/Fax

Practice location:
  • Phone: 630-782-4050
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: