Individual
MRS. FORTUNATA GELVOLEA DABU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2801 FINLEY RD STE 220, DOWNERS GROVE, IL 60515-1039
(630) 261-9393
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209-028034
IL
363LA2200X
Adult Health Nurse Practitioner
209-028034
IL
363LG0600X
Gerontology Nurse Practitioner
209-028034
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2023
Last updated
11/07/2023
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