Most Relevant Information
Provider Data
| NPI Number: | 1003029224 |
| Provider Name: | ELLISSA A SCHWARTZ PHYSICIAN ASSISTANT |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 085-002771 |
Most Important Dates
| Enumeration Date: | 05/07/2007 |
| Last Updated: | 11/24/2009 |
Provider Practice Location
6830 VILLAGREEN VW
ROCKFORD
IL
611075639
Practice Location Phone/Fax
| Phone: | 8152821339 |
| Fax: | 8152821298 |
Provider Mailing Location
6830 VILLAGREEN VIEW
OSF MEDICAL GROUP-SPRINGCREEK
ROCKFORD
IL
611075639
Provider Mailing Phone/Fax
| Phone: | 8152821339 |
| Fax: | 8152821298 |