JACQUELINE THERESE WIRTH DNP, APRN, CPNP-PC
NPI 1487312427
Nurse Practitioner - Pediatrics in Sycamore, IL

Q: What is Jacqueline Wirth's NPI number?

The NPI number for Jacqueline Wirth is 1487312427. It was assigned to this individual provider in the NPPES registry on December 7, 2021.

Q: What is Jacqueline Wirth's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Wirth was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 07, 2021

1680 MEDITERRANEAN DR STE 107, SYCAMORE, IL 60178(815) 899-0001 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jacqueline Therese Wirth Dnp, Aprn, Cpnp-pc NPPES

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

JACQUELINE THERESE WIRTH DNP, APRN, CPNP-PC (NPI 1487312427) is an individual pediatrics provider in Sycamore, Illinois, licensed in Illinois (209024208) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1487312427

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameJACQUELINE THERESE WIRTHCredential: DNP, APRN, CPNP-PC

Location Address1680 MEDITERRANEAN DR STE 107Sycamore, IL 60178-3193

Mailing Address19304 Midland AveMokena, IL 60448-1118 · (815) 685-3572

Phone(815) 899-0001

Sole ProprietorNo

Enumeration DateDecember 7, 2021

NPPES CertifiedDecember 7, 2021

✔ NPI 1487312427 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

License✔ Licensed in IL · 209024208

1680 MEDITERRANEAN DR STE 107, Sycamore, IL 60178

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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 Jacqueline Wirth's NPI number?

The NPI number for Jacqueline Wirth is 1487312427. It was assigned to this individual provider in the NPPES registry on December 7, 2021.

Where is Jacqueline Wirth located?

Jacqueline Wirth practices at 1680 Mediterranean Dr Ste 107, Sycamore, IL 60178. The listed phone number is (815) 899-0001.

What is Jacqueline Wirth'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 Jacqueline Wirth was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.