Tricia A Schwartz

Individual provider Active NPI Speech-Language Pathologist · Wadsworth, IL

NPI 1295243780 · NPPES record last updated Jan 18, 2018

Key facts

NPI
1295243780
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
146007962 (IL)
Practice address
15872 W 21St St
Wadsworth, IL 60083-8918
Phone
(847) 599-5310
Fax
(847) 599-5310
NPI assigned
Jan 18, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
146007962ILMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146007962 IL Yes

Addresses

Primary practice location

15872 W 21St St
Wadsworth, IL 60083-8918

Mailing address

15872 W 21St St
Wadsworth, IL 60083-8918
Phone (847) 599-5310

Other providers in Wadsworth, IL

All providers in Wadsworth, IL · Speech-Language Pathologist in Illinois

Sources for this page

Verify at the official NPI Registry.