Individual
MRS. MEGAN WITKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
1775 DEMPSTER ST, 2 SOUTH, PARK RIDGE, IL 60068-1143
(847) 723-5386
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209012248
IL
363LN0000X
Neonatal Nurse Practitioner
209.012248
IL
Other
Enumeration date
12/01/2014
Last updated
06/02/2022
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