Provider Demographics
NPI:1093181067
Name:SALVINO, NATALIE (APN, FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:
Last Name:SALVINO
Suffix:
Gender:F
Credentials:APN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 N YORK RD STE 205
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-8609
Mailing Address - Country:US
Mailing Address - Phone:630-590-5751
Mailing Address - Fax:630-590-5753
Practice Address - Street 1:950 N YORK RD
Practice Address - Street 2:SUITE 205
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-2950
Practice Address - Country:US
Practice Address - Phone:630-590-5751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-13
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209013057363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL13645375OtherCAQH
ILF400252355Medicare PIN