Healthcare Provider Details

I. General information

NPI: 1932096146
Provider Name (Legal Business Name): PATRYCJA CZARNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2025
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2286 DAWSON LN
ALGONQUIN IL
60102-5977
US

IV. Provider business mailing address

2286 DAWSON LN
ALGONQUIN IL
60102-5977
US

V. Phone/Fax

Practice location:
  • Phone: 630-703-8006
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number041522043
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: