Provider Demographics
NPI:1538681671
Name:PILOLLI, JOSEPHINA (APN, FNP-C)
Entity Type:Individual
Prefix:
First Name:JOSEPHINA
Middle Name:
Last Name:PILOLLI
Suffix:
Gender:F
Credentials:APN, FNP-C
Other - Prefix:
Other - First Name:JOSEPHINA
Other - Middle Name:
Other - Last Name:MARELLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3660 N LAKE SHORE DR APT 4510
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-5319
Mailing Address - Country:US
Mailing Address - Phone:630-531-7275
Mailing Address - Fax:
Practice Address - Street 1:2490 BUSHWOOD DR
Practice Address - Street 2:UNIT F
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60124
Practice Address - Country:US
Practice Address - Phone:224-293-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-11
Last Update Date:2017-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.015781363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily