MEDICARE: CHRISTINE L SCHWARTZ PETERSON 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	036087005	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285637801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE L SCHWARTZ PETERSON MD

Provider Business Mailing Address
First Line	:	7447 W TALCOTT AVE STE 551
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60631-3722
Country	:	US
Telephone Number	:	773-467-9977
Fax Number	:	773-467-9979

Provider Business Practice Location Address
First Line	:	7447 W TALCOTT AVE STE 551
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60631-3722
Country	:	US
Telephone Number	:	773-467-9977
Fax Number	:	773-467-9979

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	10/18/2012

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