JUDITH D MAGDZIARZ NP
NPI 1104925692
Nurse Practitioner - Family in Kankakee, IL

Active since September 21, 2006
1701 E COURT ST, KANKAKEE, IL 60901(815) 935-9395(815) 935-1187 Get Directions Write a Review

NPPES record last updated: July 30, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Judith D Magdziarz Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUDITH D MAGDZIARZ NP (NPI 1104925692) is an individual family provider in Kankakee, Illinois, licensed in Illinois (041-118752) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1104925692
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJUDITH D MAGDZIARZCredential: NP
Location Address1701 E COURT STKankakee, IL 60901-2670
Mailing AddressPo Box 781Kankakee, IL 60901-0781 · (815) 935-7256 · Fax (815) 935-7340
Fax(815) 935-1187
Sole ProprietorNo
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJuly 30, 2009
NPI 1104925692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 041-118752
1701 E COURT ST, Kankakee, IL 60901

Other Identifiers 1

Medicare PINL90881IL

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1701 E COURT ST
KANKAKEE, IL 60901
Family Medicine
1701 E COURT ST
KANKAKEE, IL 60901
Nurse Practitioner (Family)
1701 E COURT ST
KANKAKEE, IL 60901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judith Magdziarz's NPI number?

The NPI number for Judith Magdziarz is 1104925692. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Judith Magdziarz located?

Judith Magdziarz practices at 1701 E Court St, Kankakee, IL 60901. The listed phone number is (815) 935-9395.

What is Judith Magdziarz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Judith Magdziarz was last updated on July 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.