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NPI Code Detail

MEDICARE: AGNIESZKA GLOWIK APRN

MEDICARE: AGNIESZKA GLOWIK APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner209.021529IL

General Provider Information

NPI Number : 1942820014
Entity Type Code : Individual
Provider Name (Legal Business Name) : AGNIESZKA GLOWIK APRN
Provider Business Mailing Address
First Line : PO BOX 746715
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6715
Country : US
Telephone Number : 630-477-7200
Fax Number : 630-642-2154
Provider Business Practice Location Address
First Line : 1022 N FARNSWORTH AVE
Second Line :
City : AURORA
State : IL
Zip : 60505-2008
Country : US
Telephone Number : 630-477-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2020
Last Update Date : 03/26/2026

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