Healthcare Provider Details

I. General information

NPI: 1558207902
Provider Name (Legal Business Name): NANCY H SWANSON MA, LPMT, MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 GOOD AVE
PARK RIDGE IL
60068-1407
US

IV. Provider business mailing address

1700 GOOD AVE
PARK RIDGE IL
60068-1407
US

V. Phone/Fax

Practice location:
  • Phone: 847-644-2097
  • Fax:
Mailing address:
  • Phone: 847-644-2097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number144.2
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: