Bridget Wild

Pediatrics Physician · Evanston, IL

Individual Active NPI

NPI number 1821387150

Practice location

2650 Ridge Ave
Evanston, IL 60201-1700
Phone
(312) 227-4000

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NPI record

NPI
1821387150
Entity type
Individual (Type 1)
Enumeration date
April 7, 2011
Last updated
March 31, 2021
Certified
March 31, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 036.133836 IL
Student in an Organized Health Care Education/Training Program 390200000X — —

About Bridget Wild

Bridget Wild is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 2650 Ridge Ave, Evanston, IL 60201-1700. The NPI number 1821387150 was assigned on April 7, 2011 and the record was last updated on March 31, 2021.

Bridget Wild lists a license in the registry: #036.133836 (IL) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bridget Wild?

The NPI number is 1821387150.

What is the phone number of Bridget Wild?

The phone number listed for the practice location is (312) 227-4000.

Where is Bridget Wild located?

2650 Ridge Ave, Evanston, IL 60201-1700.

What is the taxonomy code for Bridget Wild?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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