SearchIllinois101YP2500X

Gail Wirtz

NPI 1679642219 · on the registry since 2006 · sole proprietor

Practice

Address
1801 Telegraph Rd
Bannockburn, IL 60015
Phone
(847) 267-8483
Fax
(847) 267-8483

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois