Individual provider · NPI-1

Susan Wexler, N.P.

Nurse Practitioner, Pediatrics · Bolingbrook, IL

NPI number1245383066
StatusActive
Last updated in NPPESDec 7, 2009

Details

NPI
1245383066
Entity type
Individual (NPI-1)
Name
Susan Wexler
Credential
N.P.
Sex
Female
Sole proprietor
No
Enumeration date
Jan 18, 2007
Last updated
Dec 7, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics209 003233ILYes

Practice location

215 Remington Blvd.
Suite B
Bolingbrook, IL 60440

Phone 630-226-5300 · Fax 630-226-5308

Mailing address

215 Remington Blvd
Suite B
Bolingbrook, IL 60440-3656

Phone 630-226-5300 · Fax 630-226-5308

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