Susan Wilde, CNP

NPI #1144279100 in Mchenry, Illinois

Provider Information

NPI Number
1144279100
Entity Type
Individual
Name
Susan Wilde, CNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Pediatrics
Credential
CNP
Enumeration Date
May 8, 2006
Last Updated
Aug 31, 2007

Practice Location

Address
4309 W MEDICAL CENTER DR
Address 2
B310
ZIP Code
60050-8419
Phone
(815) 344-0900

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - PediatricsPediatrics

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