| Doctor Name: | JUDITH CAROL WRZESINSKI |
| NPI Number: | 1003033598 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNM CNP |
| License Number: | 209-003485 |
| Business Practice Address: | 5120 Rotary Rd Cherry Valley, IL - 610169602 |
| Business Phone Number: | 8158740633 |
| Business Fax Number: | 8158740412 |
| Mailing Address: | 5120 Rotary Rd, CHERRY VALLEY |
| State: | IL |
| Postal Code: | 610169602 |
| Phone Number: | 8158740633 |
| Fax Number: | 8158740412 |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 05/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 209-003485 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |