Individual provider · NPI-1

Marta Druzbacka

Nurse Practitioner, Pediatrics · Park Ridge, IL

NPI number1356719009
StatusActive
Last updated in NPPESSep 11, 2015

Details

NPI
1356719009
Entity type
Individual (NPI-1)
Name
Marta Druzbacka
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 11, 2015
Last updated
Sep 11, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics209013220ILYes

Practice location

1775 W Dempster St
Park Ridge, IL 60068-1143

Phone 847-723-2092

Mailing address

1775 W Dempster St
Park Ridge, IL 60068-1143

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