Individual
TAMARA L WILFONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1379
(630) 933-1562
Mailing address
25 N WINFIELD RD STE 104, WINFIELD, IL 60190-1379
(630) 933-1199
(630) 933-1289
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209014005
IL
363LF0000X
Family Nurse Practitioner
209.014005
IL
Other
Enumeration date
12/08/2020
Last updated
10/03/2024
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