Healthcare Provider Details

I. General information

NPI: 1881942100
Provider Name (Legal Business Name): DARCI WOJCIK NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2012
Last Update Date: 01/03/2022
Certification Date: 01/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2340 S EOLA RD
AURORA IL
60503-6409
US

IV. Provider business mailing address

2340 S EOLA RD STE 100
AURORA IL
60503-6410
US

V. Phone/Fax

Practice location:
  • Phone: 630-692-5190
  • Fax: 630-692-5185
Mailing address:
  • Phone: 630-692-5190
  • Fax: 630-692-5185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209.009548
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: