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SUSAN WILDE CNP
NPI 1144279100
Nurse Practitioner - Pediatrics in Mchenry, IL

Active since May 08, 2006
4309 W MEDICAL CENTER DR, B310, MCHENRY, IL 60050(815) 344-0900(815) 344-8957 Get Directions Write a Review

NPPES record last updated: August 31, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Wilde Cnp NPPES

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

SUSAN WILDE CNP (NPI 1144279100) is an individual pediatrics provider in Mchenry, Illinois and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1144279100
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSUSAN WILDECredential: CNP
Location Address4309 W MEDICAL CENTER DR, B310Mchenry, IL 60050-8419
Mailing Address3707 Doty Rd, Suite GWoodstock, IL 60098-7530 · (815) 206-1067 · Fax (815) 206-2804
Phone(815) 344-0900
Fax(815) 344-8957
Sole ProprietorNo
Enumeration DateMay 8, 2006
Last NPPES UpdateAugust 31, 2007
✔ NPI 1144279100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
4309 W MEDICAL CENTER DR, Mchenry, IL 60050
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Other Identifiers 1

Medicare PINK38627IL

Other Providers at the Same Location NPPES 20

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

DR. ROBERT DAVID HALSTEAD M.D.
Pediatrics
4309 W MEDICAL CENTER DR, SUITE B310
MCHENRY, IL 60050
McHenry County (815) 344-3900
KANU PANCHAL MDSC
Specialist
4309 W MEDICAL CENTER DR, SUITE B301
MCHENRY, IL 60050
McHenry County (815) 344-0175
MS. MARGARET MARY DOSEMAGEN CRNA
Nurse Anesthetist, Certified Registered
4309 W MEDICAL CENTER DR, SUITE A201
MCHENRY, IL 60050
McHenry County (815) 385-0084
DR. MICHAEL EDWARD REEDY M.D.
Anesthesiology
4309 W MEDICAL CENTER DR, SUITE A201
MCHENRY, IL 60050
McHenry County (815) 385-0084
ALAN J. SIMMONS MD
Hospitalist
4309 W MEDICAL CENTER DR, MOB A102
MCHENRY, IL 60050
McHenry County (815) 338-6600
DR. DAVID LOPATA M.D.
Anesthesiology
4309 W MEDICAL CENTER DR, SUITE A201
MCHENRY, IL 60050
McHenry County (815) 385-0084
PULMONARY, CRITICAL CARE & SLEEP MEDICINE SPECIALISTS, S. C./MCHENRY
Internal Medicine (Critical Care Medicine)
4309 W MEDICAL CENTER DR, SUITE B210
MCHENRY, IL 60050
McHenry County (815) 759-9960
DR. SYED N GHANI M.D
Internal Medicine (Adolescent Medicine)
4309 W MEDICAL CENTER DR, B202
MCHENRY, IL 60050
McHenry County (815) 338-6600

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 Susan Wilde's NPI number?

The NPI number for Susan Wilde is 1144279100. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Susan Wilde located?

Susan Wilde practices at 4309 W Medical Center Dr B310, Mchenry, IL 60050. The listed phone number is (815) 344-0900.

What is Susan Wilde's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Susan Wilde was last updated on August 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.