Individual provider · Type 1 NPI

Therese Denecke-Dattalo, NP

Family Nurse Practitioner · Chicago, IL

NPI number 1770660243 Active

Practice location

675 N Saint Clair St, Galter 18-200
Chicago, IL 60611-5975

Mailing address

680 N Lake Shore Dr, Suite 1000
Chicago, IL 60611-4546

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X041-188437 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1770660243

Therese Denecke-Dattalo, NP's National Provider Identifier is 1770660243, issued on Nov 1, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Jun 30, 2009.