Individual
MARGUERITE A WYDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1653 W. CONGRESS PKWY, 622 MURDOCK, CHICAGO, IL 60612
(312) 942-6194
(312) 942-4370
Mailing address
1653 W. CONGRESS PKWY, 622 MURDOCK, CHICAGO, IL 60612
(312) 942-6194
(312) 942-4370
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
209-008510
IL
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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