Provider Demographics
NPI:1366006017
Name:ROKICKI, KLAUDIA JOANNA (APN)
Entity Type:Individual
Prefix:
First Name:KLAUDIA
Middle Name:JOANNA
Last Name:ROKICKI
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:KLAUDIA
Other - Middle Name:JOANNA
Other - Last Name:SZUBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3100 W IL ROUTE 60
Mailing Address - Street 2:
Mailing Address - City:MUNDELEIN
Mailing Address - State:IL
Mailing Address - Zip Code:60060-4267
Mailing Address - Country:US
Mailing Address - Phone:847-367-2660
Mailing Address - Fax:
Practice Address - Street 1:3100 W IL ROUTE 60
Practice Address - Street 2:
Practice Address - City:MUNDELEIN
Practice Address - State:IL
Practice Address - Zip Code:60060-4267
Practice Address - Country:US
Practice Address - Phone:847-367-2660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-29
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209018262363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily