Individual
JUDITH D MAGDZIARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1701 E COURT ST, KANKAKEE, IL 60901-2670
(815) 935-9395
(815) 935-1187
Mailing address
PO BOX 781, KANKAKEE, IL 60901-0781
(815) 935-7256
(815) 935-7340
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
041-118752
IL
Other
Enumeration date
09/21/2006
Last updated
07/30/2009
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