Healthcare Provider Details

I. General information

NPI: 1295158194
Provider Name (Legal Business Name): KAROLINA E WOZNY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2014
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 SPALDING DR STE 205
NAPERVILLE IL
60540-6527
US

IV. Provider business mailing address

221 NE GLEN OAK AVE
PEORIA IL
61636-0001
US

V. Phone/Fax

Practice location:
  • Phone: 630-646-6020
  • Fax: 630-527-3400
Mailing address:
  • Phone: 309-671-8297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number085004923
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: