Individual provider · Type 1 NPI
Robert Anthony Wisdom, CRNP
Neonatal Nurse Practitioner · Chicago, IL
NPI number
1487767117
Active
Practice location
4444 S Prairie Ave
Chicago, IL 60653-3208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 350263 (NY) |
| Neonatal Nurse Practitioner Primary | 363LN0000X | 209014169 (IL) |
| Neonatal Nurse Practitioner | 363LN0000X | 942926-6 (FL) |
Neonatal Nurse Practitioner: Definition to come...
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About NPI 1487767117
Robert Anthony Wisdom, CRNP's National Provider Identifier is 1487767117, issued on Aug 16, 2006. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Chicago, IL. The record was last updated on Apr 8, 2016.