Susan Wilde is a Pediatrics in Mchenry, Illinois. Susan Wilde practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Susan Wilde is 1144279100. The last update date is 2007-08-31.
Susan Wilde's current location address is 4309 W Medical Center Dr, Mchenry, Illinois. You can contact this provider via phone number 8153440900 and fax number 8153448957. The mailing address for Susan Wilde is 4309 W Medical Center Dr, Mchenry, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Wilde |
|---|---|
| Address | 4309 W Medical Center Dr, Mchenry, Illinois |
| Phone Number | 8153440900 |
| Fax Number | 8153448957 |
| Sole Proprietor | N |
| Credentials | CNP |
NPI Number Detail
| NPI Number | 1144279100 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2007-08-31 |
Provider Mailing Address Detail
| Address | 4309 W Medical Center Dr |
|---|---|
| City | Mchenry |
| State | Illinois (IL) |
| Post Code | 600508419 |
| Phone Number | 8153440900 |
| Fax Number | 8153448957 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
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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 unique identifier code issued to Susan Wilde by the Centers for Medicare & Medicaid Services (CMS)?
The Susan Wilde has been assigned the NPI (National Provider Identifier) 1144279100. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Susan Wilde's facilities are situated?
The facilities of Susan Wilde are physically located at the following address: 4309 W Medical Center Dr, Mchenry, IL, 600508419.
What is the Susan Wilde's specialty and taxonomy code?
The Susan Wilde's specialty is Pediatrics, and the corresponding taxonomy code is 363Lp0200X.
When was the Susan Wilde's 1144279100 issued?
The Susan Wilde's 1144279100 was issued on 2006-05-08.
When was the information pertaining to Susan Wilde most recently updated or revised?
The details related to Susan Wilde, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-31.