Healthcare Provider Details

I. General information

NPI: 1942663315
Provider Name (Legal Business Name): AMANDA RAE SCHWARTZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2016
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 W 22ND ST STE 200
OAK BROOK IL
60523-4649
US

IV. Provider business mailing address

2425 W 22ND ST STE 200
OAK BROOK IL
60523-4649
US

V. Phone/Fax

Practice location:
  • Phone: 630-954-0054
  • Fax: 630-954-0064
Mailing address:
  • Phone: 630-954-0054
  • Fax: 630-954-0064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number036.163353
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number036.163353
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: