Healthcare Provider Details

I. General information

NPI: 1841670437
Provider Name (Legal Business Name): MARGARET WRIGHT APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2015
Last Update Date: 11/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 N FARNSWORTH AVE
AURORA IL
60505-3004
US

IV. Provider business mailing address

276 DEVOE DR
OSWEGO IL
60543-4066
US

V. Phone/Fax

Practice location:
  • Phone: 630-898-0022
  • Fax: 630-898-2933
Mailing address:
  • Phone: 630-947-5423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209012671
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: