Healthcare Provider Details

I. General information

NPI: 1568728335
Provider Name (Legal Business Name): MAUREEN M SWIDERSKI APN, AOCNS, CHPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MAUREEN M CRONIN

II. Dates (important events)

Enumeration Date: 04/06/2012
Last Update Date: 10/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 BISHOP CT
MT PROSPECT IL
60056-6039
US

IV. Provider business mailing address

1550 BISHOP CT
MT PROSPECT IL
60056-6039
US

V. Phone/Fax

Practice location:
  • Phone: 847-685-9900
  • Fax:
Mailing address:
  • Phone: 847-685-9900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number209.008529
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: