Active NPI
Marvin J. Schwarz, MD
- Child & Adolescent Psychiatry Physician
- Wheaton, IL
National Provider Identifier
1710023783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- Practice address
- 610 W Roosevelt Rd
Suite D
Wheaton, IL 60187-5087 - Phone
- (630) 290-8461
- Fax
- (847) 835-0863
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | IL | Primary |
Addresses
Primary practice location
610 W Roosevelt Rd
Suite D
Wheaton, IL 60187-5087
Mailing address
PO Box 8118
Northfield, IL 60093-8118
Phone (630) 290-8461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-034411 | IL | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710023783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8118",
"city": "NORTHFIELD",
"state": "IL",
"postal_code": "600938118",
"telephone_number": "630-290-8461",
"fax_number": "847-835-0863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 W ROOSEVELT RD",
"address_2": "SUITE D",
"city": "WHEATON",
"state": "IL",
"postal_code": "601875087",
"telephone_number": "630-290-8461",
"fax_number": "847-835-0863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARZ",
"first_name": "MARVIN",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.