| Doctor Name: | DARCY JURASKA |
| NPI Number: | 1093106163 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 209.012344 |
| Business Practice Address: | 248 Grandview Ave Glen Ellyn, IL - 601375579 |
| Business Phone Number: | 6309561530 |
| Business Fax Number: | 6304692552 |
| Mailing Address: | 248 Grandview Ave, GLEN ELLYN |
| State: | IL |
| Postal Code: | 601375579 |
| Phone Number: | 6309561530 |
| Fax Number: | 6304692552 |
| NPI Enumeration Date: | 02/11/2015 |
| NPI Last Update Date: | 02/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 209.012344 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |