Wydra, Marguerite A

Wydra, Marguerite A is an individual health care provider with primary practice located at 1653 W. Congress Pkwy 622 Murdock, Chicago IL 60612. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Wydra, Marguerite A can be contacted via phone (312) 942-6194.

Contact Information

Primary practice address
1653 W. Congress Pkwy 622 Murdock Chicago IL 60612
Phone: (312) 942-6194
Fax: (312) 942-4370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X 209-008510 Illinois

Profile Details

NPI number 1255694568
LBN Legal business name Wydra, Marguerite A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2012
Last updated Jun 21st, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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