Individual
ANN WISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
19937 S EDINBURGH LN, FRANKFORT, IL 60423-6923
(708) 631-4722
Mailing address
19937 S EDINBURGH LN, FRANKFORT, IL 60423-6923
(708) 631-4722
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.026455
IL
363LF0000X
Family Nurse Practitioner
Primary
209.026455
IL
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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