Individual provider · Type 1 NPI
Susan Gwodz, FNP
Family Nurse Practitioner · Joliet, IL
NPI number
1356974786
Active
Practice location
333 Madison St
Joliet, IL 60435-8200
Mailing address
24812 Fieldbrook Dr
Plainfield, IL 60544-2876
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 041.305772 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | 209024181 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1356974786
Susan Gwodz, FNP's National Provider Identifier is 1356974786, issued on Feb 13, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Joliet, IL. The record was last updated on Feb 9, 2022.