Individual
BETSY FITZGIBBONS OVERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
1441 BRANDING AVE STE 310, DOWNERS GROVE, IL 60515-5624
(708) 227-4727
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209028459
IL
363LP2300X
Primary Care Nurse Practitioner
209028459
IL
Other
Enumeration date
08/14/2024
Last updated
09/26/2024
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