Individual
ANNA DICICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGNP-BC
Contact information
Practice address
10 HEALTH SERVICES DR, DEKALB, IL 60115-9600
(815) 756-5255
(815) 756-9944
Mailing address
10 HEALTH SERVICES DR, DEKALB, IL 60115-9600
(815) 756-5255
(815) 756-9944
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209026285
IL
363LG0600X
Gerontology Nurse Practitioner
209026285
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/06/2022
Last updated
03/12/2024
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