SUSAN WILDE

MCHENRY, IL
NPI1144279100
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: IL  041246908)
Enumeration Date2006-05-08
Last Update Date2007-08-31
Business Address
-- SUSAN WILDE CNP
4309 W MEDICAL CENTER DR B310
MCHENRY, IL 60050-8419
Phone number: 815-344-0900
Mailing Address
-- SUSAN WILDE CNP
3707 DOTY RD SUITE G
WOODSTOCK, IL 60098-7530
Phone number: 815-206-1067
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