IndividualActive
Agnieszka Waclaw, NP
NPI 1699484485 · Nurse Practitioner · Willowbrook, IL
Provider details
- NPI number
- 1699484485
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 209025844 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
40 75th St
Willowbrook, IL 60527-2325
Phone: (630) 581-5372
Fax: (630) 568-3247
Approximate (ZIP-level) locationGet directions
Mailing address
40 75th St
Willowbrook, IL 60527-2325
Registry dates
- Enumerated
- 2022-11-21
- Last updated
- 2022-11-21
- Certified
- 2022-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.