Provider Demographics
NPI:1821387671
Name:FORTUNA, JOANNE L
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:L
Last Name:FORTUNA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 W NATALIE LN
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:IL
Mailing Address - Zip Code:60101-3419
Mailing Address - Country:US
Mailing Address - Phone:773-386-3003
Mailing Address - Fax:
Practice Address - Street 1:511 W NATALIE LN
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:IL
Practice Address - Zip Code:60101-3419
Practice Address - Country:US
Practice Address - Phone:773-386-3003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula