Individual provider · Type 1 NPI

Deanne C. Fornelli, PA-C

Surgical Physician Assistant · Chicago, IL

NPI number 1245532928 Active

Practice location

1653 W. Congress Parkway, Jelke 7th Floor - General Surgery
Chicago, IL 60612

Call (312) 942-6379 Map

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X085.003925 (IL)

Surgical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1245532928

Deanne C. Fornelli, PA-C's National Provider Identifier is 1245532928, issued on Dec 1, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Chicago, IL. The record was last updated on Sep 11, 2012.