Individual
MICHAEL CECCHETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
2868 N BROADWAY ST, CHICAGO, IL 60657-6017
(569) 352-5773
Mailing address
779 W ADAMS ST, CHICAGO, IL 60661-3509
(312) 752-4466
(312) 559-2968
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209019851
IL
Other
Enumeration date
08/24/2019
Last updated
09/01/2020
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