Individual
KETINA NIEWIAROWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
77 RAND RD, DES PLAINES, IL 60016-1005
(847) 298-0310
(847) 298-5939
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.013558
IL
Other
Enumeration date
02/22/2016
Last updated
02/20/2023
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