Jacqueline Therese Wirth, DNP, APRN, CPNP-PC - Nurse Practitioner in Sycamore, IL

Jacqueline Therese Wirth, DNP, APRN, CPNP-PC is a Nurse Practitioner - Pediatrics based in Sycamore, Illinois. Jacqueline Therese Wirth is licensed to practice in Illinois (license number 209024208) and her current practice location is 1680 Mediterranean Dr Ste 107, Sycamore, Illinois. She can be reached at her office (for appointments etc.) via phone at (815) 899-0001.

NPI number for Jacqueline Therese Wirth is 1487312427 and her current mailing address is 19304 Midland Ave, Mokena, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487312427.

Contact Information

Jacqueline Therese Wirth, DNP, APRN, CPNP-PC
1680 Mediterranean Dr Ste 107,
Sycamore, IL 60178-3193
(815) 899-0001
Not Available

Map and Direction




Provider's Profile

Full NameJacqueline Therese Wirth
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location1680 Mediterranean Dr Ste 107, Sycamore, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487312427
  • Provider Enumeration Date: 12/07/2021
  • Last Update Date: 12/07/2021

Medical Identifiers

Medical identifiers for Jacqueline Therese Wirth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487312427NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 209024208 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Therese Wirth is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacqueline Therese Wirth, DNP, APRN, CPNP-PC
19304 Midland Ave,
Mokena, IL 60448-1118

Ph: (815) 685-3572
Jacqueline Therese Wirth, DNP, APRN, CPNP-PC
1680 Mediterranean Dr Ste 107,
Sycamore, IL 60178-3193

Ph: (815) 899-0001

Reviews and Comments


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