Individual
MARIKO PUSINELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
177 E BRUSH HILL RD, ELMHURST, IL 60126-5658
(331) 221-5900
Mailing address
177 E BRUSH HILL RD, ELMHURST, IL 60126-5658
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209016301
IL
363LF0000X
Family Nurse Practitioner
209016301
IL
Other
Enumeration date
11/29/2022
Last updated
08/27/2024
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