Individual provider · Type 1 NPI

Ewelina Wiatrak, DNP, APRN, ACNP-BC

Nurse Practitioner · Park Ridge, IL

NPI number 1073154829 Active

Practice location

1700 Luther Ln Ste 1170
Park Ridge, IL 60068-1270

Fax (847) 723-2041

Mailing address

29373 Network Pl
Chicago, IL 60673-1293

Other practice locations

  • 5841 S. Maryland Ave, Chicago, IL 60637 · (773) 702-1000

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209019629 (IL)
Acute Care Nurse Practitioner 363LA2100X209019629 (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 1073154829

Ewelina Wiatrak, DNP, APRN, ACNP-BC's National Provider Identifier is 1073154829, issued on Oct 2, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Park Ridge, IL. The record was last updated on May 26, 2026.