Joseph Spagnola III, NP, FPA, PMHNP-BC
Nurse Practitioner in Berwyn, IL. Individual provider (NPI-1).
NPI number1649760083
StatusActive
Last updated in NPPESAug 8, 2023
Details
- NPI
- 1649760083
- Entity type
- Individual (NPI-1)
- Name
- Joseph Spagnola III
- Credential
- NP, FPA, PMHNP-BC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 11, 2018
- Certification date
- Aug 8, 2023
- Last updated
- Aug 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 277002403 | IL | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 209017357 | IL |
Practice location
3249 Oak Park AveBerwyn, IL 60402-3429
Phone 708-783-9100
Mailing address
3249 Oak Park AveBerwyn, IL 60402-3429
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Other Nurse Practitioner providers in Berwyn, IL
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- Taylor RogersNPI 1376389593
All 5 Nurse Practitioner providers in Berwyn · All 1,310 providers in Berwyn
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