Individual
STEPHANIE DESALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-AG
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-8000
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
16918-33
WI
363L00000X
Nurse Practitioner
Primary
209028240
IL
363LA2100X
Acute Care Nurse Practitioner
209028240
IL
Other
Enumeration date
01/26/2024
Last updated
04/30/2026
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