NPI 1316926140

James Swan, MD

Practitioner Dermatology Physician Maywood, IL

Practice location

Address: 2160 S 1st Ave (321 Lagrange Rd., Lagrande Park, Il.60526), Maywood, IL 60153-3328
Phone: (708) 485-1020
Fax: (708) 485-1173

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 36063593 (IL)

Other Dermatology providers in Illinois →

Registry record

NPI: 1316926140
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jan 2006
Record last updated: 5 Mar 2010

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.