Provider Demographics
NPI:1679933311
Name:WIERZBICKI, MARGARET
Entity Type:Individual
Prefix:MISS
First Name:MARGARET
Middle Name:
Last Name:WIERZBICKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3335 N ARLINGTON HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-1573
Mailing Address - Country:US
Mailing Address - Phone:224-347-2564
Mailing Address - Fax:224-735-3461
Practice Address - Street 1:3335 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-1573
Practice Address - Country:US
Practice Address - Phone:224-347-2564
Practice Address - Fax:224-735-3461
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-23
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.013591363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily