Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Teresa Wyatt Kodiak, APN-CNP, FNP-C

Individual provider Family Nurse Practitioner · NPI 1902236912

Teresa Wyatt Kodiak, APN-CNP, FNP-C is a Family Nurse Practitioner in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2013
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

611 W Roosevelt Rd
Chicago, IL 60607-4911
Phone: (773) 570-3382
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 219010786 (IL)

Record details

NPI number1902236912
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN-CNP , FNP-C
Sole proprietorYes
NPI enumeratedNovember 13, 2013
Last updated in NPPESMarch 24, 2017

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