person
Ms. Shanna Marie Widera, RN,APN
Pediatric Nurse Practitioner in Chicago, Illinois
NPI 1790710531

Shanna Marie Widera is a Pediatric Nurse Practitioner based in Chicago, IL and is specialized in Pediatrics. Shanna Marie Widera practices in Chicago, IL and has the professional credentials of RN,APN. The NPI Number for Shanna Marie Widera is 1790710531 and holds a License No. 209004579 (Illinois).

The current practice location address for Shanna Marie Widera is 225 E Chicago Ave, Chicago, IL and can be reached out via phone at 312-227-6778 and via fax at 312-227-9413.

Location: 225 E Chicago Ave, Chicago, IL, 60610-8375
person
Provider Profile Details
NPI Number
1790710531
Provider Name
Shanna Marie Widera
Credential
RN,APN
Provider Entity Type
Individual
Gender
Female
Address
225 E Chicago Ave, Chicago, IL, 60610-8375
Phone Number
312-227-6778
Fax Number
312-227-9413
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
225 E Chicago Ave
City
State
Zip
60611-2991
Phone Number
312-227-6778
Fax Number
312-227-9413
person
Provider Business Mailing Address Details
Address
225 E Chicago Ave
City
State
Zip
60611-2991
Phone Number
312-227-6778
Fax Number
312-227-9413
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
209004579 (Illinois)
Definition
Definition to come...
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