Provider Demographics
NPI:1013625185
Name:EL MAHASSNI, JOANN (APRN, FNP-BC, FNP-C)
Entity Type:Individual
Prefix:
First Name:JOANN
Middle Name:
Last Name:EL MAHASSNI
Suffix:
Gender:F
Credentials:APRN, FNP-BC, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 HOBSON RD STE 232
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-8138
Mailing Address - Country:US
Mailing Address - Phone:630-946-6554
Mailing Address - Fax:877-458-3984
Practice Address - Street 1:1220 HOBSON RD STE 232
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-8138
Practice Address - Country:US
Practice Address - Phone:630-946-6554
Practice Address - Fax:877-458-3984
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-08
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11022418363LF0000X
IL209026352363LF0000X, 2080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily