Doctor Name: | MS. SARA ARIANA SWIDERSKI |
NPI Number: | 1023216397 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MBA, RD, LDN |
License Number: | 164.004211 |
Business Practice Address: | 1775 Dempster St Park Ridge, IL - 600681143 |
Business Phone Number: | 8477237182 |
Business Fax Number: | |
Mailing Address: | 8453 W Gregory St Unit 60, CHICAGO |
State: | IL |
Postal Code: | 606561540 |
Phone Number: | 8477237182 |
Fax Number: | |
NPI Enumeration Date: | 07/06/2007 |
NPI Last Update Date: | 11/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 164.004211 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |