MEDICARE: MISS MARGARET WIERZBICKI

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	209.013591	IL

General Provider Information

NPI Number	:	1679933311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MARGARET WIERZBICKI

Provider Business Mailing Address
First Line	:	3335 N ARLINGTON HEIGHTS RD
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-1573
Country	:	US
Telephone Number	:	224-347-2564
Fax Number	:	224-735-3461

Provider Business Practice Location Address
First Line	:	3335 N ARLINGTON HEIGHTS RD
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-1573
Country	:	US
Telephone Number	:	224-347-2564
Fax Number	:	224-735-3461

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

Provider Enumeration Date	:	02/23/2016
Last Update Date	:	04/05/2024

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