Individual
ANNETTE FONTANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7900 N MILWAUKEE AVE STE 18, NILES, IL 60714-3165
(847) 663-9700
(847) 663-9702
Mailing address
7900 N MILWAUKEE AVE STE 18, NILES, IL 60714-3165
(847) 663-9700
(847) 663-9702
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F12180356
IL
Other
Enumeration date
01/07/2019
Last updated
07/14/2020
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