MEDICARE: MS. JODY SCHWARTZ LCPC

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	101YM0800X	Mental Health Counselor		IL

General Provider Information

NPI Number	:	1952503260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JODY SCHWARTZ LCPC

Provider Business Mailing Address
First Line	:	950 N MICHIGAN AVE
Second Line	:	SUITE 2201
City	:	CHICAGO
State	:	IL
Zip	:	60611-4500
Country	:	US
Telephone Number	:	312-218-8800
Fax Number	:	312-587-0511

Provider Business Practice Location Address
First Line	:	737 N MICHIGAN AVE
Second Line	:	STE. 2130
City	:	CHICAGO
State	:	IL
Zip	:	60611-2615
Country	:	US
Telephone Number	:	312-218-8800
Fax Number	:	312-587-0511

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

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	07/08/2007

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