Individual
NICOLE FORTUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 W TAYLOR ST, CHICAGO, IL 60612-4795
(312) 996-7416
Mailing address
PO BOX 778789, CHICAGO, IL 60677-8789
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.166344
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699169664
—
WI
Enumeration date
03/26/2015
Last updated
01/03/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us