MEDICARE: HALLIE SCHWARTZ NCC

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	101YP2500X	Professional Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1497244206	OTHER	IL	DISCOVER PSYCHOLOGICAL SERVICES, LLC

General Provider Information

NPI Number	:	1568958064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALLIE SCHWARTZ NCC

Provider Business Mailing Address
First Line	:	333 N MICHIGAN AVE STE 1120
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60601-4001
Country	:	US
Telephone Number	:	216-509-7829
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 N MICHIGAN AVE STE 1120
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60601-4001
Country	:	US
Telephone Number	:	847-609-1475
Fax Number	:

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

Provider Enumeration Date	:	07/08/2018
Last Update Date	:	07/08/2018

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Directions to “ HALLIE SCHWARTZ NCC” Practice Location

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