Provider Demographics
NPI:1477835767
Name:SCHWIMMER, JOAN C (RPH)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:C
Last Name:SCHWIMMER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 WAUKEGAN RD
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-3837
Mailing Address - Country:US
Mailing Address - Phone:847-272-3155
Mailing Address - Fax:847-272-3516
Practice Address - Street 1:1050 WAUKEGAN RD
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-3700
Practice Address - Country:US
Practice Address - Phone:847-272-3155
Practice Address - Fax:847-272-3516
Is Sole Proprietor?:No
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051032605183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist