Provider Demographics
NPI:1770792194
Name:SCHWARTZ, DEENA C (APRN, CRNA, PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:DEENA
Middle Name:C
Last Name:SCHWARTZ
Suffix:
Gender:
Credentials:APRN, CRNA, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7432 HANCOCK DR
Mailing Address - Street 2:
Mailing Address - City:WONDER LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60097-9200
Mailing Address - Country:US
Mailing Address - Phone:815-307-6717
Mailing Address - Fax:
Practice Address - Street 1:7432 HANCOCK DR
Practice Address - Street 2:
Practice Address - City:WONDER LAKE
Practice Address - State:IL
Practice Address - Zip Code:60097-9200
Practice Address - Country:US
Practice Address - Phone:815-307-6717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI157587-30163W00000X
IL209003720367500000X
IL277002732363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered