Healthcare Provider Details

I. General information

NPI: 1407786940
Provider Name (Legal Business Name): BRIDGET DUCH FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

932 N WRIGHT ST STE 120
NAPERVILLE IL
60563-3600
US

IV. Provider business mailing address

1122 LONGWOOD DR
LISLE IL
60532-4538
US

V. Phone/Fax

Practice location:
  • Phone: 330-461-2014
  • Fax:
Mailing address:
  • Phone: 330-461-2014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209.035504
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: