MEDICARE: JENNIFER ASHLEY SWARTZ

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	207R00000X	Internal Medicine Physician	125.086488	IL

General Provider Information

NPI Number	:	1699578138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER ASHLEY SWARTZ

Provider Business Mailing Address
First Line	:	1362 N BOSWORTH AVE APT 3B
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60642-2311
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1362 N BOSWORTH AVE APT 3B
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60642-2311
Country	:	US
Telephone Number	:	224-715-2321
Fax Number	:

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

Provider Enumeration Date	:	03/31/2025
Last Update Date	:	09/28/2025

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