Individual
DIANE R. NURCESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
5101 WILLOW SPRINGS RD, LA GRANGE, IL 60525-2600
(708) 245-4073
(708) 245-5614
Mailing address
911 N ELM ST, STE 215, HINSDALE, IL 60521-3634
(630) 856-6865
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209005875
IL
363LA2200X
Adult Health Nurse Practitioner
209-005875
IL
363LF0000X
Family Nurse Practitioner
209005875
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209-005875
APN LICENSE
IL
01
—
364138353
TAX ID
—
Enumeration date
08/24/2006
Last updated
05/05/2026
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