Provider Demographics
NPI:1295767911
Name:SCHWARTZ-CHEVLIN, JILL FELICE (MD)
Entity type:Individual
Prefix:DR
First Name:JILL
Middle Name:FELICE
Last Name:SCHWARTZ-CHEVLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2476 SWEDESFORD RD STE 150
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-1456
Mailing Address - Country:US
Mailing Address - Phone:844-902-2345
Mailing Address - Fax:
Practice Address - Street 1:2476 SWEDESFORD RD STE 150
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-1456
Practice Address - Country:US
Practice Address - Phone:844-902-2345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06488200207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ82031Medicare ID - Type Unspecified
NJG42848Medicare UPIN