Individual
KATHLEEN E WODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2222 E STATE ST, STE 209, ROCKFORD, IL 61104-1573
(815) 988-8500
(815) 977-5956
Mailing address
2222 E STATE ST, STE 209, ROCKFORD, IL 61104-1573
(815) 988-8500
(815) 977-5956
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.012112
IL
Other
Enumeration date
11/07/2014
Last updated
11/14/2015
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