Wanda Diderich

  • NPI 1396259081
According to our database, the NPI number for Wanda Diderich is 1396259081 and activated since 6 years ago. Wanda Diderich is an individual provider who specializes in Professional, and the primary practice location is 8616 Northern Ave, Rockford, IL 61107. You can also contact Wanda Diderich via telephone number is (815) 332-8003. Provider NPI information was last updated on 11/17/2017.

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Overview of Wanda Diderich

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 11/17/2017
  • Last updated: 11/17/2017

Primary Scrop of Practice

  • Taxonomy Code: 101YP2500X
  • Specialty: Professional
  • License Number: 178013374
  • License State: IL

Provider Mailing Address

  • Address: 1021 N Mulford Rd
    Rockford, IL 61107
  • Phone: 815-387-5600
  • Fax: 815-316-4726

Provider Practice Location

  • Address: 8616 Northern Ave
    Rockford, IL 61107
  • Phone: 815-332-8003
  • Fax: 815-332-6090

Scope of Practice

  • Taxonomy Code: 101YP2500X
  • Specialty: Professional
  • License Number: 178013374
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 17013374
  • Identifier Type: Other
  • Identifier State: IL
  • Issuer: LPC

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Wanda Diderich?
  • A: The npi number for Wanda Diderich is 1396259081.
  • Q: What are Wanda Diderich's specialties?
  • A: Wanda Diderich's specialties are Professional and different specialities.
  • Q: What is the medical license for Wanda Diderich?
  • A: The medical license number for Wanda Diderich is 178013374 and issued in IL in USA.
  • Q: Where is Wanda Diderich practice location?
  • A: Wanda Diderich is practicing at 8616 Northern Ave, Rockford, IL 61107.
  • Q: How to contact Wanda Diderich?
  • A: You can contact Wanda Diderich via 815-332-8003.