Wiezorek, Emily

Wiezorek, Emily is an individual health care provider with primary practice located at 101 E Plummer Blvd , Chatham IL 62629-8047. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wiezorek, Emily can be contacted via phone (217) 483-3487.

Contact Information

Primary practice address
101 E Plummer Blvd Chatham IL 62629-8047
Fax: (217) 483-8150
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209015128 Illinois

Profile Details

NPI number 1609310960
LBN Legal business name Wiezorek, Emily
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2016
Last updated Dec 6th, 2016 - about 8 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 1609310960 NPPES
Illinois Other F1016555 AANP CERTIFICATION

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