Individual provider · Type 1 NPI

Thomas Schwartz

Nurse Practitioner · Belleville, IL

NPI number 1104718352 Active

Practice location

4500 Memorial Dr
Belleville, IL 62226-5399

Mailing address

PO Box 959203
St. Louis, MO 63195-9203

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209033441 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104718352

Thomas Schwartz's National Provider Identifier is 1104718352, issued on Jul 21, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Belleville, IL. The record was last updated on Dec 4, 2025.