NPI 1003029224

Ellissa a Schwartz, PHYSICIANASSISTANT

Practitioner Physician Assistant Rockford, IL

Practice location

Address: 6830 Villagreen Vw, Rockford, IL 61107-5639
Phone: (815) 282-1339
Fax: (815) 282-1298
Mailing address: 6830 Villagreen View OSF Medical Group-Springcreek, Rockford, IL 61107-5639

Registered specialties (3)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 085-002771 (IL)

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Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence MA #052890 (PA)

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 2370-023 (WI)

Registry record

NPI: 1003029224
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 May 2007
Record last updated: 24 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.