MEDICARE: AMANDA RAE SCHWARTZ MD

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	207VE0102X	Reproductive Endocrinology Physician	036.163353	IL
2	207V00000X	Obstetrics & Gynecology Physician	036.163353	IL

General Provider Information

NPI Number	:	1942663315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA RAE SCHWARTZ MD

Provider Business Mailing Address
First Line	:	2425 W 22ND ST STE 200
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-4649
Country	:	US
Telephone Number	:	630-954-0054
Fax Number	:	630-954-0064

Provider Business Practice Location Address
First Line	:	2425 W 22ND ST STE 200
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-4649
Country	:	US
Telephone Number	:	630-954-0054
Fax Number	:	630-954-0064

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

Provider Enumeration Date	:	04/01/2016
Last Update Date	:	04/28/2026

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