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Individual
JACQUELINE JEAN WOLAK
Active
Individual
JACQUELINE JEAN WOLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, DNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209014197
IL
363LF0000X
Family Nurse Practitioner
Primary
NP95023785
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041408764
041408764
IL
01
—
209014197
209014197
IL
Enumeration date
03/31/2016
Last updated
03/14/2023
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