Provider Demographics
NPI:1851952717
Name:PERSE, ADRIANA COURTNEY (MSN, RN, FNP-BC)
Entity Type:Individual
Prefix:MISS
First Name:ADRIANA
Middle Name:COURTNEY
Last Name:PERSE
Suffix:
Gender:F
Credentials:MSN, RN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 W 22ND ST STE 200
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1563
Mailing Address - Country:US
Mailing Address - Phone:630-575-5000
Mailing Address - Fax:
Practice Address - Street 1:329 REMINGTON BLVD STE 105
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-5894
Practice Address - Country:US
Practice Address - Phone:630-685-5699
Practice Address - Fax:630-492-9750
Is Sole Proprietor?:No
Enumeration Date:2019-06-21
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.019450363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily