Provider Demographics
NPI:1427351451
Name:WOZNY, JILL T (RN, MSN, CCNS)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:T
Last Name:WOZNY
Suffix:
Gender:F
Credentials:RN, MSN, CCNS
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:T
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:120 SPALDING DR
Mailing Address - Street 2:SUITE 111
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-6508
Mailing Address - Country:US
Mailing Address - Phone:630-527-3788
Mailing Address - Fax:630-646-6110
Practice Address - Street 1:120 SPALDING DR
Practice Address - Street 2:SUITE 111
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6508
Practice Address - Country:US
Practice Address - Phone:630-527-3788
Practice Address - Fax:630-646-6110
Is Sole Proprietor?:No
Enumeration Date:2010-12-14
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.007273364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist