Healthcare Provider Details

I. General information

NPI: 1730822263
Provider Name (Legal Business Name): CHERIE L FIEDLER APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2022
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4305 W MEDICAL CENTER DR STE 1
MCHENRY IL
60050-8425
US

IV. Provider business mailing address

4305 W MEDICAL CENTER DR STE 1
MCHENRY IL
60050-8425
US

V. Phone/Fax

Practice location:
  • Phone: 815-759-8100
  • Fax: 815-759-8106
Mailing address:
  • Phone: 815-759-8100
  • Fax: 815-759-8106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209025031
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209-025031
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: