Individual
MARIKAY FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FAMILY MEDICINE NP
Contact information
Practice address
1441 BRANDING AVE STE 310, DOWNERS GROVE, IL 60515-5624
(630) 829-1038
(630) 829-1080
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1732
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-000983
IL
363LF0000X
Family Nurse Practitioner
209-000983
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209-000983
APN LICENSE
IL
Enumeration date
05/19/2006
Last updated
06/27/2022
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