Provider Demographics
NPI:1194845131
Name:SCHWAGER, VERNE ARCHIBALD (MD)
Entity Type:Individual
Prefix:DR
First Name:VERNE
Middle Name:ARCHIBALD
Last Name:SCHWAGER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2025 S ARLINGTON HEIGHTS RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-4152
Mailing Address - Country:US
Mailing Address - Phone:847-392-5580
Mailing Address - Fax:847-378-8311
Practice Address - Street 1:2025 S ARLINGTON HEIGHTS RD
Practice Address - Street 2:SUITE 106
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-4152
Practice Address - Country:US
Practice Address - Phone:847-392-5580
Practice Address - Fax:847-378-8311
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2014-12-08
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Provider Licenses
StateLicense IDTaxonomies
IL036-042940207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILC39539Medicare UPIN
ILK48578Medicare PIN