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Individual

MRS. AUDREY ELIZABETH POLYWKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4309 W MEDICAL CENTER DR STE B202, MCHENRY, IL 60050-8417
(815) 455-2752
(815) 455-2789
Mailing address
4309 W MEDICAL CENTER DR STE B202, MCHENRY, IL 60050-8417
(815) 455-2752
(815) 455-2789

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209019758
IL

Other

Enumeration date
08/09/2019
Last updated
03/15/2022
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