Individual provider · Type 1 NPI

Stephanie Desalvo, ACNP-AG

Nurse Practitioner · Oak Lawn, IL

NPI number 1619739448 Active

Practice location

4440 W 95th St
Oak Lawn, IL 60453-2600

Mailing address

29373 Network Pl
Chicago, IL 60673-1293

Other practice locations

  • 425 Pine Ridge Blvd Ste 305, Wausau, WI 54401-4124 · (715) 847-2480

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X209028240 (IL)
Nurse Practitioner 363L00000X16918-33 (WI)
Nurse Practitioner Primary 363L00000X209028240 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1619739448

Stephanie Desalvo, ACNP-AG's National Provider Identifier is 1619739448, issued on Jan 26, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Oak Lawn, IL. The record was last updated on Apr 30, 2026.