Provider Demographics
NPI:1447705306
Name:SCHWAGER, KARI
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:
Last Name:SCHWAGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:
Other - Last Name:SCHWAGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:2248 N CLARK ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-3898
Mailing Address - Country:US
Mailing Address - Phone:402-730-2654
Mailing Address - Fax:
Practice Address - Street 1:2248 N CLARK ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-3898
Practice Address - Country:US
Practice Address - Phone:402-730-2654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-22
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198.001331171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist