Abby Antczak, APRN
Nurse Practitioner, Family in Rockford, IL. Individual provider (NPI-1).
NPI number1194545749
StatusActive
Last updated in NPPESOct 16, 2024
Details
- NPI
- 1194545749
- Entity type
- Individual (NPI-1)
- Name
- Abby Antczak
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2024
- Certification date
- Oct 16, 2024
- Last updated
- Oct 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209.030791 | IL | Yes |
Practice location
3775 N Mulford RdRockford, IL 61114-5632
Phone 779-696-9202
Mailing address
3775 N Mulford RdRockford, IL 61114-5632
Phone 779-696-9202
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