Individual
MICHAEL E. FANELLI
Active
Individual
MICHAEL E. FANELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209021539
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209021539
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
209021539
IL
Other
Enumeration date
05/21/2020
Last updated
02/14/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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