Wakeland, Judith A

Wakeland, Judith A is an individual health care provider with primary practice located at 1000 W Harlem Ave , Monmouth IL 61462-1099. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Wakeland, Judith A can be contacted via phone (309) 734-3141.

Contact Information

Primary practice address
1000 W Harlem Ave Monmouth IL 61462-1099
Phone: (309) 734-3141
Fax: (309) 734-3029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041127252 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085001026 Illinois

Profile Details

NPI number 1831160779
LBN Legal business name Wakeland, Judith A
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jul 29th, 2014 - about 10 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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