IndividualActive
Carol Wardlaw, RN,APN
NPI 1194942029 · Ambulatory Care Registered Nurse · Blue Island, IL
Provider details
- NPI number
- 1194942029
- Entity type
- Individual
- Primary specialty
- Ambulatory Care Registered NurseNursing Service Providers
- Credential
- RN,APN
- Sex
- Female
- Sole proprietor
- No
- License
- 209002606 (IL)
Specialties & taxonomies
Nursing Service Providers
Practice location
13000 Maple Ave
Blue Island, IL 60406-2318
Phone: (708) 385-6100
Fax: (708) 385-2051
Approximate (ZIP-level) locationGet directions
Mailing address
13000 Maple Ave
Blue Island, IL 60406-2318
Registry dates
- Enumerated
- 2007-04-20
- Last updated
- 2012-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.