MICHAEL FRESSOLA


Address: 3623 S. Forest Avenue, Brookfield, IL 60513-1286
Phone: 7084859219

MICHAEL FRESSOLA (NPI# 1104068204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104068204
Entity Type Individual
Full Name MICHAEL FRESSOLA
Credential ACNP
Practice Address 3623 S. Forest Avenue
Brookfield
IL 60513-1286
Practice Telephone 7084859219
Practice Fax Number 7084852300
Mailing Telephone 7084859219
Mailing Fax Number 7084852300
Enumeration Date 2009-04-03
Last Update Date 2009-04-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
209007505 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3623 S. FOREST AVENUE
City BROOKFIELD
State IL
Zip Code 60513-1286

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NPI Name Taxonomy Address Enumeration
1801318712 Filip Maksimovic Physical Therapy Assistant 4329 Forest Ave, Brookfield, IL 60513 2017-07-12
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1306972112 George Tomecki Family Medicine 8905 Burlington Ave, Brookfield, IL 60513 2007-02-26
1316036486 Community Support Services Social Worker 9021 Ogden Avenue, Brookfield, IL 60513 2006-10-12
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1669574513 Todd C Martin Dentist 9435 W. Ogden Ave, Brookfield, IL 60513 2006-09-02
1316988397 Ehtesham J Ghani Internal Medicine 9223 Ogden Avenue, Brookfield, IL 60513 2006-06-09
1518302595 Brook Park Medical Associates S C Internal Medicine 3101 Maple Ave, Brookfield, IL 60513 2013-05-06
1508076225 Ehtesham J Ghani Md Sc Internal Medicine 9223 Ogden Avenue, Brookfield, IL 60513 2007-05-23
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073141495 Judith Hummel Nurse Practitioner 18125 Prairie Falcon Ln, Brookfield, WI 53045-6316 2020-03-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1609485424 Intensive Karen LLC Nurse Practitioner 612 Mulford St Apt 503, Evanston, IL 60202-3531 2020-07-28
1609484591 Jennifer Kuczero Nurse Practitioner 4059 W 89th Pl, Hometown, IL 60456-1202 2020-07-16
1205452489 Aneta Trybula Nurse Practitioner 10604 W 154th Pl, Orland Park, IL 60462-6025 2020-06-23
1740742170 Jenna C Reeh Nurse Practitioner 1740 W Taylor St # 605e, Chicago, IL 60612-7232 2019-04-04
1588125116 Sherryl Estorque Nurse Practitioner 9033 W Heathwood Cir, Niles, IL 60714-5807 2019-03-27
1992276497 Laura Beth Miller Nurse Practitioner 302 W Hay St Ste 110, Decatur, IL 62526-4167 2018-12-09
1932674322 Ashleigh M Poptic Nurse Practitioner 675 N St Claire St Ste 19-100, Galter Pavilion, Chicago, IL 60611-5969 2018-10-11
1215415039 Julieanne Ferguson Nurse Practitioner 251 E Huron St Dept Of, Chicago, IL 60611-2908 2018-08-02
1275024523 Lateisha Nicole Fort Nurse Practitioner 1222 E 170th St, South Holland, IL 60473-3558 2018-05-22
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Competitor

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City BROOKFIELD
Zip Code 60513

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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