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Organization
WELL-ROOTED PEDIATRICS LLC
Active
Organization
WELL-ROOTED PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA PAWLICKI APRN (APRN, FNP-C)
(815) 529-1201
Entity
Organization
Contact information
Practice address
820 E TERRA COTTA AVE STE 132, CRYSTAL LAKE, IL 60014-3655
(815) 322-9300
Mailing address
820 E TERRA COTTA AVE STE 132, CRYSTAL LAKE, IL 60014-3655
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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