| Doctor Name: | KERRI WERGIN |
| NPI Number: | 1326497868 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 209014179 |
| Business Practice Address: | 1201 Water Tower Rd West Dundee, IL - 601183330 |
| Business Phone Number: | 8478518888 |
| Business Fax Number: | |
| Mailing Address: | 2 Elm Creek Dr Apt 412, ELMHURST |
| State: | IL |
| Postal Code: | 601265200 |
| Phone Number: | 2628183407 |
| Fax Number: | |
| NPI Enumeration Date: | 06/06/2016 |
| NPI Last Update Date: | 06/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209014179 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |