Swain, Sandra Faith
Swain, Sandra Faith is an sole proprietor health care provider with primary practice located at 501 Peterson Rd , Libertyville IL 60048-1082. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Swain, Sandra Faith can be contacted via phone (708) 532-0330.Contact Information
Primary practice address
501 Peterson Rd
Libertyville IL 60048-1082
Phone: (708) 532-0330
Fax: (847) 680-3844
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 336079575 | Illinois |
Profile Details
NPI number | 1295811016 |
---|---|
LBN Legal business name | Swain, Sandra Faith |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 27th, 2006 |
Last updated | Sep 28th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295811016 | NPPES |
Illinois | MEDICAID | 036079575 |
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