MEDICARE: MICHAEL A SCHWARTZMAN, DPM, LTD

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	332B00000X	Durable Medical Equipment & Medical Supplies	016003402	IL

General Provider Information

NPI Number	:	1700054251
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL A SCHWARTZMAN, DPM, LTD

Provider Business Mailing Address
First Line	:	1213 JOLIET ST
Second Line	:	STE C
City	:	WEST CHICAGO
State	:	IL
Zip	:	60185-3700
Country	:	US
Telephone Number	:	630-293-3668
Fax Number	:

Provider Business Practice Location Address
First Line	:	1213 JOLIET ST
Second Line	:	STE C
City	:	WEST CHICAGO
State	:	IL
Zip	:	60185-3700
Country	:	US
Telephone Number	:	630-293-3668
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL ALAN SCHWARTZMAN
Credential	:	DPM
Telephone Number	:	219-659-3338

Provider Enumeration Date	:	02/19/2008
Last Update Date	:	06/23/2020

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