MEDICARE: CHRISTINE SWARTZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	EC05044	ME
2	207Q00000X	Family Medicine Physician	036120672	IL

General Provider Information

NPI Number	:	1114052297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE SWARTZ MD

Provider Business Mailing Address
First Line	:	5425 W LAKE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60644-2342
Country	:	US
Telephone Number	:	773-378-3347
Fax Number	:	773-378-4028

Provider Business Practice Location Address
First Line	:	5425 W LAKE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60644-2342
Country	:	US
Telephone Number	:	773-378-3347
Fax Number	:	773-378-4028

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	01/31/2011

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Directions to “ CHRISTINE SWARTZ MD” Practice Location

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