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Contact Information

QUANEISHA FORTSON, FNP-BC
1901 BUTTERFIELD RD.
SUITE 800
CHICAGO, IL60518
 Phone: 615-479-8787
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for QUANEISHA FORTSON · (Female)

NPI Number 1144906843
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 06/26/2023
Last updated 03/12/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 041434656
  • IL License # 209.028354
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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