Provider Demographics
NPI:1548145956
Name:SWANN, TAMARA S
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:S
Last Name:SWANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TAMARA
Other - Middle Name:
Other - Last Name:ZEMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:924 W 75TH ST
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-6193
Mailing Address - Country:US
Mailing Address - Phone:630-432-2174
Mailing Address - Fax:
Practice Address - Street 1:924 W 75TH ST
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60565-6193
Practice Address - Country:US
Practice Address - Phone:630-432-2174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL175F00000X, 174H00000X, 173C00000X, 173C00000X
176B00000X, 171100000X, 173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No175F00000XOther Service ProvidersNaturopath
Yes174H00000XOther Service ProvidersHealth Educator
No173C00000XOther Service ProvidersReflexologist
No171100000XOther Service ProvidersAcupuncturist