Provider Demographics
NPI:1679877674
Name:SCHWARTZ, BETH (NP)
Entity Type:Individual
Prefix:MS
First Name:BETH
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1875 DEMPSTER ST STE 360
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-1192
Mailing Address - Country:US
Mailing Address - Phone:847-655-8500
Mailing Address - Fax:847-655-8501
Practice Address - Street 1:1875 DEMPSTER ST STE 360
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-1192
Practice Address - Country:US
Practice Address - Phone:847-655-8500
Practice Address - Fax:847-655-8501
Is Sole Proprietor?:No
Enumeration Date:2011-01-05
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209-003829363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology