Provider Demographics
NPI:1518219229
Name:WRIGHT, LADONNA D (PA - C)
Entity Type:Individual
Prefix:MS
First Name:LADONNA
Middle Name:D
Last Name:WRIGHT
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Gender:F
Credentials:PA - C
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Mailing Address - Street 1:1763 FREEDOM DR
Mailing Address - Street 2:SUITE 117
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-3548
Mailing Address - Country:US
Mailing Address - Phone:630-687-9595
Mailing Address - Fax:630-839-5805
Practice Address - Street 1:1763 FREEDOM DR
Practice Address - Street 2:SUITE 117
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-3548
Practice Address - Country:US
Practice Address - Phone:630-687-9595
Practice Address - Fax:630-839-5805
Is Sole Proprietor?:No
Enumeration Date:2012-10-04
Last Update Date:2021-05-04
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Provider Licenses
StateLicense IDTaxonomies
IL085.004466363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant