Individual
KATHY WAJDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3880 SALEM LAKE DR STE F, LONG GROVE, IL 60047-5292
(847) 719-2220
(847) 719-2265
Mailing address
3880 SALEM LAKE DR STE F, LONG GROVE, IL 60047-5292
(847) 719-2220
(847) 719-2265
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209016851
IL
363LF0000X
Family Nurse Practitioner
209-016851
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209016851
—
IL
Enumeration date
05/23/2018
Last updated
12/13/2022
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