Provider Demographics
NPI:1245445394
Name:SCOIGLETTI, ANN (APN, FNP-BC)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:
Last Name:SCOIGLETTI
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Gender:
Credentials:APN, FNP-BC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13305 S RIDGELAND AVE
Mailing Address - Street 2:UNIT B
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1808
Mailing Address - Country:US
Mailing Address - Phone:708-389-9226
Mailing Address - Fax:708-389-2004
Practice Address - Street 1:10260 191ST ST STE 100
Practice Address - Street 2:
Practice Address - City:MOKENA
Practice Address - State:IL
Practice Address - Zip Code:60448-8802
Practice Address - Country:US
Practice Address - Phone:708-572-7575
Practice Address - Fax:708-572-7576
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL209-001365363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q09577Medicare UPIN