Provider Demographics
NPI:1518977552
Name:PLONCZYNSKI, DONNA J (APN, PHD)
Entity Type:Individual
Prefix:PROF
First Name:DONNA
Middle Name:J
Last Name:PLONCZYNSKI
Suffix:
Gender:F
Credentials:APN, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 N LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-2033
Mailing Address - Country:US
Mailing Address - Phone:630-232-4742
Mailing Address - Fax:
Practice Address - Street 1:101 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-2033
Practice Address - Country:US
Practice Address - Phone:630-232-4742
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2090000704363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily