Individual
DR. NANCY A JAGODZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
620 N RIVER RD, SUITE 104, NAPERVILLE, IL 60563-8950
(630) 778-7670
(630) 778-7671
Mailing address
620 N RIVER RD, SUITE 104, NAPERVILLE, IL 60563-8950
(630) 778-7670
(630) 778-7671
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016-004352
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016-004352
PODIATRIC PHYSICIAN/SURG
IL
Enumeration date
05/09/2006
Last updated
01/03/2014
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