MS. SARA ARIANA SWIDERSKI, MBA, RD, LDN - NPI NUMBER 1023216397

Summary

Provider Name: MS. SARA ARIANA SWIDERSKI, MBA, RD, LDN

NPI Number: 1023216397

Clasification: General Acute Care Hospital (282NC0060X)

Specialization: Critical Access

Address:
1775 DEMPSTER ST
PARK RIDGE, IL
ZIP 60068

Phone Number: (847) 723-7182



Detailed Information

MS. Sara Ariana Swiderski, MBA, RD, LDN is a critical access general acute care hospital in Park Ridge, IL. The provider is definition to come. The assigned NPI number for this provider is 1023216397 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

1775 DEMPSTER ST
PARK RIDGE, IL
ZIP 60068-143
Phone: (847) 723-7182

The enumeration date for this NPI number is 7/6/2007 and was last updated on 11/12/2008.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 282NC0060X General Acute Care Hospital Critical Access 164.004211 IL Yes

NPI Record

No. Field Name Field Value
1 NPI 1023216397
2 Entity Type Code 1
3 Provider Last Name Legal Name SWIDERSKI
4 Provider First Name SARA
5 Provider Middle Name ARIANA
6 Provider Name Prefix Text MS.
7 Provider Credential Text MBA, RD, LDN
8 Provider First Line Business Practice Location Address 1775 DEMPSTER ST
9 Provider Business Practice Location Address City Name PARK RIDGE
10 Provider Business Practice Location Address State Name IL
11 Provider Business Practice Location Address Postal Code 600681143
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 8477237182
14 Provider Enumeration Date 7/6/2007
15 Last Update Date 11/12/2008
16 Provider Gender Code F
17 Healthcare Provider Taxonomy Code 1 282NC0060X
18 Provider License Number 1 164.004211
19 Provider License Number State Code 1 IL
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Is Sole Proprietor Y

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This page was last updated on: 7/15/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.