MEDICARE: MARLENA SWEISS APN

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	363LP0200X	Pediatric Nurse Practitioner	209.033648	IL

General Provider Information

NPI Number	:	1154272839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARLENA SWEISS APN

Provider Business Mailing Address
First Line	:	4700 W 95TH ST STE 301
Second Line	:
City	:	OAK LAWN
State	:	IL
Zip	:	60453-2572
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4700 W 95TH ST STE 301
Second Line	:
City	:	OAK LAWN
State	:	IL
Zip	:	60453-2572
Country	:	US
Telephone Number	:	708-424-7601
Fax Number	:

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

Provider Enumeration Date	:	02/07/2026
Last Update Date	:	03/11/2026

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Directions to “ MARLENA SWEISS APN” Practice Location

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