Basic Information
| Provider Information | |||||||||
| NPI: | 1902859861 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SCHWAB FACULTY ASSOCIATES INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 28687 NETWORK PL | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606731858 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7732572820 | ||||||||
| FaxNumber: | 7737628529 | ||||||||
| Practice Location | |||||||||
| Address1: | 1401 S CALIFORNIA AVE | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606081858 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7735222010 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/19/2006 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| AuthorizedOfficialLastName: | GITTLER | ||||||||
| AuthorizedOfficialFirstName: | MICHELLE | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | CMO | ||||||||
| AuthorizedOfficialTelephone: | 7735222010 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
| NPICertificationDate: | 02/22/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 283X00000X | IL | Y | Hospitals | Rehabilitation Hospital |
No ID Information.