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Contact Information

SHANNON L BARTOLUCCI, NP
1909 OGDEN AVE STE A
DOWNERS GROVE, IL60515-2602
 Phone: 630-832-1775
 Fax: 630-832-1775
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SHANNON L BARTOLUCCI · (Female)

NPI # 1770888901
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 01/19/2011
Last updated 07/15/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 209.004191
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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