Provider Demographics
NPI:1952658866
Name:CARUSO, APRIL (APN)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:CARUSO
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:
Other - Last Name:LUX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25 N WINFIELD RD
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60190-1295
Mailing Address - Country:US
Mailing Address - Phone:630-933-4950
Mailing Address - Fax:630-933-4959
Practice Address - Street 1:25 N WINFIELD RD
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60190-1295
Practice Address - Country:US
Practice Address - Phone:630-933-4950
Practice Address - Fax:630-933-4959
Is Sole Proprietor?:No
Enumeration Date:2012-08-09
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209008825363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL920540036OtherMEDICARE PTAN (INDIVIDUAL)