Individual provider Active NPI

Christina Anne Swanson, M.D.

  • Pediatrics Physician
  • Libertyville, IL
National Provider Identifier
1366486565
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036116367 Issued in IL
Practice address
1131 Terre Dr
Libertyville, IL 60048-1655
Phone
(847) 281-7154
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036116367 IL Primary

Addresses

Primary practice location

1131 Terre Dr
Libertyville, IL 60048-1655

Mailing address

1131 Terre Dr
Libertyville, IL 60048-1655
Phone (847) 281-7154

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cswanson206595@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061218000117 IL Practitioner - Pediatric Medicine 1557360740 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036116367ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health & Hospitals Corporation CurrentSince Jul 22, 2013 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 22, 2013 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866

29373 Network Pl
Chicago, IL 60673

1425 N Randall Rd
Rm 61128
Elgin, IL 60123

825 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-1393

825 S Milwaukee Ave
Fl 2
Libertyville, IL 60048
Phone (847) 430-6155

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1366486565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 TERRE DR",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481655",
            "telephone_number": "847-281-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 TERRE DR",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481655",
            "telephone_number": "847-281-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "CHRISTINA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036116367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cswanson206595@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1131 Terre Dr",
            "city": "Libertyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600481655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1131 Terre Dr",
            "city": "Libertyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600481655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.