Individual
MRS. LINDA S PIETRZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1900 E LAKE SHORE DR, SUITE 330, DECATUR, IL 62521-3824
(217) 423-2889
(217) 423-2923
Mailing address
1900 E LAKE SHORE DR, SUITE 330, DECATUR, IL 62521-3824
(217) 423-2889
(217) 423-2923
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209006076
IL
Other
Enumeration date
08/26/2010
Last updated
03/10/2011
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