Swia, LLC

Primary specialty

Research Clinic/CenterTaxonomy code 261QR1100X

License

036054850 Issued in IL

Legal business name

SWIA, LLC

Practice address

2010 Jacobssen Dr
Normal, IL 61761-6280

Phone

(309) 452-0995

NPI assigned

Jun 15, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Robert Kaufmann, MD

Title

Director

Phone

(217) 652-8284

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1972984052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 JACOBSSEN DR",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 JACOBSSEN DR",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616280",
            "telephone_number": "309-452-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "KAUFMANN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "217-652-8284",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": "IL",
            "license": "036054850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Kaye Summers, DNP, NNP
• Shawna Summers
• Cynthia J. Sutherland, SLP/L
• Susan J Svientek, M.D.
• Mark Edward Swerdlik, PH.D.
• Brent Sylvester, PH.D.
• Jayul Tailor, MD
• Stephanie E Tate, MD
• Korine M Tatroe
• Taylor Ashton Taylor, MSN, APN, FNP-BC

• Research Clinic/Center in Normal, IL
• Providers in Normal, IL by specialty
• Research Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.