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MARGUERITE A WYDRA
NPI 1255694568
Clinical Nurse Specialist - Pediatrics in Chicago, IL

Active since June 21, 2012
1653 W. CONGRESS PKWY, 622 MURDOCK, CHICAGO, IL 60612(312) 942-6194(312) 942-4370 Get Directions Write a Review

NPPES record last updated: June 21, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marguerite A Wydra NPPES

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

MARGUERITE A WYDRA (NPI 1255694568) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (209-008510) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1255694568
Entity TypeIndividualFemale
Primary Taxonomy364SP0200X
Provider Legal NameMARGUERITE A WYDRA
Location Address1653 W. CONGRESS PKWY, 622 MURDOCKChicago, IL 60612
Mailing Address1653 W. Congress Pkwy, 622 MurdockChicago, IL 60612 · (312) 942-6194 · Fax (312) 942-4370
Phone(312) 942-6194
Fax(312) 942-4370
Sole ProprietorNo
Enumeration DateJune 21, 2012
✔ NPI 1255694568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0200X
License✔ Licensed in IL · 209-008510
1653 W. CONGRESS PKWY, Chicago, IL 60612
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Other Providers at the Same Location NPPES

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

DR. JAY MATTHEW BEHEL PH.D.
Psychologist (Clinical)
1653 W. CONGRESS PKWY
CHICAGO, IL 60612
Cook County (312) 942-3153

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 Marguerite Wydra's NPI number?

The NPI number for Marguerite Wydra is 1255694568. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Where is Marguerite Wydra located?

Marguerite Wydra practices at 1653 W. Congress Pkwy 622 Murdock, Chicago, IL 60612. The listed phone number is (312) 942-6194.

What is Marguerite Wydra's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Pediatrics, with taxonomy code 364SP0200X.

When was this NPI record last updated?

The NPPES record for Marguerite Wydra was last updated on June 21, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.