Provider Demographics
NPI:1154086767
Name:WOJEWODA, ALEKSANDRA (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ALEKSANDRA
Middle Name:
Last Name:WOJEWODA
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9332 OZARK AVE
Mailing Address - Street 2:
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053-1062
Mailing Address - Country:US
Mailing Address - Phone:224-565-5459
Mailing Address - Fax:
Practice Address - Street 1:1S072 LUTHER AVE
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-4164
Practice Address - Country:US
Practice Address - Phone:630-247-8877
Practice Address - Fax:630-576-0580
Is Sole Proprietor?:No
Enumeration Date:2021-11-08
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209023495363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily