MEDICARE: DEBRA NAWRACAJ FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	209034298	IL
2	163WL0100X	Lactation Consultant (Registered Nurse)	041197803	IL

General Provider Information

NPI Number	:	1093555377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA NAWRACAJ FNP-C

Provider Business Mailing Address
First Line	:	159 LOUISE CT
Second Line	:
City	:	WOOD DALE
State	:	IL
Zip	:	60191-2063
Country	:	US
Telephone Number	:	773-315-7162
Fax Number	:

Provider Business Practice Location Address
First Line	:	159 LOUISE CT
Second Line	:
City	:	WOOD DALE
State	:	IL
Zip	:	60191-2063
Country	:	US
Telephone Number	:	773-315-7162
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2024
Last Update Date	:	01/16/2026

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