Wilde, Susan

Wilde, Susan is an individual health care provider with primary practice located at 4309 W Medical Center Dr B310, Mchenry IL 60050-8419. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Wilde, Susan can be contacted via phone (815) 344-0900.

Contact Information

Primary practice address
4309 W Medical Center Dr B310 Mchenry IL 60050-8419
Phone: (815) 344-0900
Fax: (815) 344-8957
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X Illinois

Profile Details

NPI number 1144279100
LBN Legal business name Wilde, Susan
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Aug 31st, 2007 - about 18 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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