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NPI Code Detail

MEDICARE: MRS. DEENA C SCHWARTZ APRN, CRNA, PMHNP-BC

MEDICARE: MRS. DEENA C SCHWARTZ APRN, CRNA, PMHNP-BC
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
1163W00000XRegistered Nurse157587-30WI
2367500000XCertified Registered Nurse Anesthetist209003720IL
3363LP0808XPsychiatric/Mental Health Nurse Practitioner277002732IL

General Provider Information

NPI Number : 1770792194
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEENA C SCHWARTZ APRN, CRNA, PMHNP-BC
Provider Business Mailing Address
First Line : 7432 HANCOCK DR
Second Line :
City : WONDER LAKE
State : IL
Zip : 60097-9200
Country : US
Telephone Number : 815-307-6717
Fax Number :
Provider Business Practice Location Address
First Line : 7432 HANCOCK DR
Second Line :
City : WONDER LAKE
State : IL
Zip : 60097-9200
Country : US
Telephone Number : 815-307-6717
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 03/26/2025

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