Provider Demographics
NPI:1346605110
Name:VOLANTI, RONALD JR (RN, NP)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:
Last Name:VOLANTI
Suffix:JR
Gender:M
Credentials:RN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2710 GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-2544
Mailing Address - Country:US
Mailing Address - Phone:708-829-6209
Mailing Address - Fax:
Practice Address - Street 1:11S250 S JACKSON ST
Practice Address - Street 2:SUITE 102
Practice Address - City:BURR RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60527-6818
Practice Address - Country:US
Practice Address - Phone:630-581-6818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-22
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN209.013592363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care