| Doctor Name: | MRS. WENDY ANN DYER |
| NPI Number: | 1770903635 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 209011468 |
| Business Practice Address: | 5775 E. Highway 113 Coal City, IL - 60416 |
| Business Phone Number: | 8156340100 |
| Business Fax Number: | |
| Mailing Address: | 312 Willow St, BUCKINGHAM |
| State: | IL |
| Postal Code: | 609172108 |
| Phone Number: | 8156516263 |
| Fax Number: | |
| NPI Enumeration Date: | 04/18/2014 |
| NPI Last Update Date: | 04/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | 209011468 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |