MEDICARE: MAUREEN M SWIDERSKI APN, AOCNS, CHPN

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	364S00000X	Clinical Nurse Specialist	209.008529	IL

General Provider Information

NPI Number	:	1568728335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN M SWIDERSKI APN, AOCNS, CHPN

Provider Business Mailing Address
First Line	:	1550 BISHOP CT
Second Line	:
City	:	MT PROSPECT
State	:	IL
Zip	:	60056-6039
Country	:	US
Telephone Number	:	847-685-9900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1550 BISHOP CT
Second Line	:
City	:	MT PROSPECT
State	:	IL
Zip	:	60056-6039
Country	:	US
Telephone Number	:	847-685-9900
Fax Number	:

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

Provider Enumeration Date	:	04/06/2012
Last Update Date	:	10/20/2016

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