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
Fax: (847) 680-3844
Website:

Health care specialties

SpecialtyCodeLicense #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 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295811016 NPPES
Illinois MEDICAID 036079575

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