Provider Demographics
NPI:1790179604
Name:SCHWEMMER, ANDREW
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:SCHWEMMER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2222 W DIVISION ST STE 340
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-2995
Mailing Address - Country:US
Mailing Address - Phone:773-541-8100
Mailing Address - Fax:773-541-8109
Practice Address - Street 1:2222 W DIVISION ST STE 340
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-2995
Practice Address - Country:US
Practice Address - Phone:773-541-8100
Practice Address - Fax:773-541-8109
Is Sole Proprietor?:No
Enumeration Date:2015-03-28
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME144221208600000X
IL036.157404208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery