Bartolucci, Shannon Lyn

Bartolucci, Shannon Lyn is an individual health care provider with primary practice located at 1909 Ogden Ave Ste A , Downers Grove IL 60515-2602. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Bartolucci, Shannon Lyn can be contacted via phone (630) 832-1775.

Contact Information

Primary practice address
1909 Ogden Ave Ste A Downers Grove IL 60515-2602
Phone: (630) 832-1775
Fax: (630) 832-1775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209.004191 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 209.004191 Illinois

Profile Details

NPI number 1770888901
LBN Legal business name Bartolucci, Shannon Lyn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2011
Last updated Jul 15th, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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