Healthcare Provider Details

I. General information

NPI: 1932955523
Provider Name (Legal Business Name): ANGELA B JARZYNA APN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2024
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24600 W 127TH ST STE 100
PLAINFIELD IL
60585-9507
US

IV. Provider business mailing address

24600 W 127TH ST STE 100
PLAINFIELD IL
60585-9507
US

V. Phone/Fax

Practice location:
  • Phone: 815-731-9000
  • Fax: 815-731-9001
Mailing address:
  • Phone: 815-731-9000
  • Fax: 815-731-9001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209029572
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209.029572
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: