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Ms. Shanna Marie Widera

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NPI Number Detailed Information

Provider Information:

Name: Ms. Shanna Marie Widera
Gender: F
Provider License Number If Given: 209004579

NPI Information:

NPI: 1790710531
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/11/2006

Last Update Date: 11/21/2019

Provider Business Mailing Address:

Address: 1221 N DEARBORN ST APT 603N
Chicago, IL 60610
Phone Number: 7733987880
Fax Number:

Provider Business Practice Location Address:

Address: 225 E CHICAGO AVE BOX #59
Chicago, IL 60611
Phone Number: 3122276778
Fax Number: 3122279413

Provider Taxonomy:

Primary: 363LP0200X
Secondary (if any):
State: IL

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About Ms. Shanna Marie Widera

Ms. Shanna Marie Widera (MS. SHANNA MARIE WIDERA ) is Definition Nurse Practitioner Physician in Chicago, IL. The NPI Number for Ms. Shanna Marie Widera is 1790710531.
The current location address for Ms. Shanna Marie Widera is 225 E CHICAGO AVE BOX #59 Chicago, IL 60611 and the contact number is 7733987880 and fax number is . The mailing address for Ms. Shanna Marie Widera is 1221 N DEARBORN ST APT 603N Chicago, IL 60610- 3122276778 (mailing address contact number - 7733987880).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Ms. Shanna Marie Widera ?


Answer: The NPI Number for Ms. Shanna Marie Widera is 1790710531

Where is Ms. Shanna Marie Widera located?


Answer: Ms. Shanna Marie Widera is located at 225 E CHICAGO AVE BOX #59 Chicago, IL 60611.

What is the specialty for Ms. Shanna Marie Widera ?


Answer: The Specialty of Ms. Shanna Marie Widera is Definition Nurse Practitioner Physician.

Are there any online reviews for Ms. Shanna Marie Widera ?


Answer: Not yet!

Are there any other health care providers in Chicago, IL?


Answer: Yes, there are given below...

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Ms. Shanna Marie Widera in Other Directories

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