Provider Demographics
NPI:1912696733
Name:SCHWARZ, DREW (MS)
Entity type:Individual
Prefix:
First Name:DREW
Middle Name:
Last Name:SCHWARZ
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:497 W HAPPFIELD DR APT 304
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-7116
Mailing Address - Country:US
Mailing Address - Phone:715-527-8372
Mailing Address - Fax:
Practice Address - Street 1:497 W HAPPFIELD DR APT 304
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-7116
Practice Address - Country:US
Practice Address - Phone:715-527-8372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer