Provider Demographics
NPI:1386675114
Name:SPIOTTO, GIA MARIE (RN, CPNP-AC)
Entity Type:Individual
Prefix:MRS
First Name:GIA
Middle Name:MARIE
Last Name:SPIOTTO
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Gender:F
Credentials:RN, CPNP-AC
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Mailing Address - Street 1:225 E. CHICAGO AVE
Mailing Address - Street 2:8TH FLOOR ADA
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3833
Mailing Address - Country:US
Mailing Address - Phone:312-227-4100
Mailing Address - Fax:312-227-9640
Practice Address - Street 1:1653 W CONGRESS PKWY
Practice Address - Street 2:744 JONES
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3833
Practice Address - Country:US
Practice Address - Phone:312-563-3848
Practice Address - Fax:312-563-3839
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2021-11-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL041331840163WP0200X
IL209005961363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1386675114Medicaid