Provider Demographics
NPI:1710023783
Name:SCHWARZ, MARVIN J (MD)
Entity Type:Individual
Prefix:DR
First Name:MARVIN
Middle Name:J
Last Name:SCHWARZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 8118
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60093-8118
Mailing Address - Country:US
Mailing Address - Phone:630-290-8461
Mailing Address - Fax:847-835-0863
Practice Address - Street 1:610 W ROOSEVELT RD
Practice Address - Street 2:SUITE D
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-5087
Practice Address - Country:US
Practice Address - Phone:630-290-8461
Practice Address - Fax:847-835-0863
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry