Individual provider · Type 1 NPI

Mariola U. Grzeszczyk, APRN

Nurse Practitioner · Rockford, IL

NPI number 1003425463 Active

Practice location

5875 E Riverside Blvd
Rockford, IL 61114-4937

Fax (815) 381-7498

Mailing address

40 75th St
Willowbrook, IL 60527-2325

Other practice locations

  • 5140 N California Ave Ste 575, Chicago, IL 60625-7065 · (773) 878-6200
  • 40 75th St, Willowbrook, IL 60527-2325 · (630) 581-5372

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X2019055819 (IL)
Family Nurse Practitioner 363LF0000X209022930 (IL)
Nurse Practitioner Primary 363L00000X209022930 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1003425463

Mariola U. Grzeszczyk, APRN's National Provider Identifier is 1003425463, issued on Jul 30, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rockford, IL. The record was last updated on Feb 28, 2025.