Jagodzinski, Nancy A

Jagodzinski, Nancy A is an individual health care provider with primary practice located at 620 N River Rd Suite 104, Naperville IL 60563-8950. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Jagodzinski, Nancy A can be contacted via phone (630) 778-7670.

Contact Information

Primary practice address
620 N River Rd Suite 104 Naperville IL 60563-8950
Phone: (630) 778-7670
Fax: (630) 778-7671
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016-004352 Illinois

Profile Details

NPI number 1841249620
LBN Legal business name Jagodzinski, Nancy A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Jan 3rd, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841249620 NPPES
Illinois Other 016-004352 PODIATRIC PHYSICIAN/SURG

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