Shanna Marie Widera in Chicago - Pediatrics
Shanna Marie Widera - NPI 1790710531
Shanna Marie Widera is a Pediatrics in Chicago, Illinois. Shanna Marie Widera practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Shanna Marie Widera is 1790710531. The last update date is 2019-11-21.
Shanna Marie Widera's current location address is 1221 N Dearborn St Apt 603n, Chicago, Illinois. You can contact this provider via phone number 7733987880. The mailing address for Shanna Marie Widera is 1221 N Dearborn St Apt 603n, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shanna Marie Widera |
|---|---|
| Address | 1221 N Dearborn St Apt 603n, Chicago, Illinois |
| Phone Number | 7733987880 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RN, APN |
NPI Number Detail
| NPI Number | 1790710531 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2019-11-21 |
Provider Mailing Address Detail
| Address | 1221 N Dearborn St Apt 603n |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606108375 |
| Phone Number | 7733987880 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 209004579 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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Post Comment/ Review Below
What is the Shanna Marie Widera's 1790710531?
The Shanna Marie Widera's NPI (National Provider Identifier) Number is 1790710531. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Shanna Marie Widera located?
The Shanna Marie Widera is located at 1221 N Dearborn St Apt 603N, Chicago, IL 606108375.
What is Shanna Marie Widera's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shanna Marie Widera is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 363Lp0200X.
On what date did Shanna Marie Widera receive its 1790710531 assignment from the Centers for Medicare & Medicaid Services?
The Shanna Marie Widera was assigned its 1790710531 on 2006-07-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Shanna Marie Widera, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shanna Marie Widera, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-11-21.
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