Healthcare Provider Details

I. General information

NPI: 1629086210
Provider Name (Legal Business Name): THERESA SCHWAB MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4440 W 95TH ST EMERGENCY DEPARTMENT CHRIST HOSPITAL
OAK LAWN IL
60453-2600
US

IV. Provider business mailing address

4440 W 95TH ST EMERGENCY DEPARTMENT CHRIST HOSPITAL
OAK LAWN IL
60453-2600
US

V. Phone/Fax

Practice location:
  • Phone: 708-684-4077
  • Fax: 708-684-1028
Mailing address:
  • Phone: 708-684-4077
  • Fax: 708-684-1028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number036098161
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number036098161
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number036098161
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: