Provider Demographics
NPI:1134309982
Name:BIELECKI, SVETLANA (APN)
Entity Type:Individual
Prefix:
First Name:SVETLANA
Middle Name:
Last Name:BIELECKI
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:395 E DUNDEE RD
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-7001
Mailing Address - Country:US
Mailing Address - Phone:847-215-1414
Mailing Address - Fax:847-215-0404
Practice Address - Street 1:395 E DUNDEE RD
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:IL
Practice Address - Zip Code:60090-7001
Practice Address - Country:US
Practice Address - Phone:847-215-1414
Practice Address - Fax:847-215-0404
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-09
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health