Healthcare Provider Details

I. General information

NPI: 1427351451
Provider Name (Legal Business Name): JILL T WOZNY RN, MSN, CCNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JILL T PARKER

II. Dates (important events)

Enumeration Date: 12/14/2010
Last Update Date: 12/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 SPALDING DR SUITE 111
NAPERVILLE IL
60540-6508
US

IV. Provider business mailing address

120 SPALDING DR SUITE 111
NAPERVILLE IL
60540-6508
US

V. Phone/Fax

Practice location:
  • Phone: 630-527-3788
  • Fax: 630-646-6110
Mailing address:
  • Phone: 630-527-3788
  • Fax: 630-646-6110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number209.007273
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: