Individual provider · Type 1 NPI

Carli Immordino, NURSE

Nurse Practitioner · La Grange Highlands, IL

NPI number 1982314043 Active

Practice location

5201 Willow Springs Rd Ste 440
La Grange Highlands, IL 60525-6546

Mailing address

612 N Oakley Blvd Apt 102
Chicago, IL 60612-1225

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209026471 (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 1982314043

Carli Immordino, NURSE's National Provider Identifier is 1982314043, issued on Nov 30, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in La Grange Highlands, IL. The record was last updated on Nov 30, 2022.