| Doctor Name: | PATRICIA KUENZI |
| NPI Number: | 1003155375 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP-BC |
| License Number: | 209009593 |
| Business Practice Address: | 329 Remington Blvd Ste 205 Bolingbrook, IL - 604405817 |
| Business Phone Number: | 6302261130 |
| Business Fax Number: | |
| Mailing Address: | 132 Saddle Brook Dr, OAK BROOK |
| State: | IL |
| Postal Code: | 605232663 |
| Phone Number: | 6308878746 |
| Fax Number: | |
| NPI Enumeration Date: | 02/06/2013 |
| NPI Last Update Date: | 05/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 209009593 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |