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Individual
SUSAN GWODZ
Active
Individual
SUSAN GWODZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
041.305772
IL
363LF0000X
Family Nurse Practitioner
Primary
209024181
IL
Other
Enumeration date
02/13/2020
Last updated
02/09/2022
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