Michael Fressola, ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

209007505 Issued in IL

Practice address

3623 S. Forest Avenue
Brookfield, IL 60513-1286

Phone

(708) 485-9219

Fax

(708) 485-2300

NPI assigned

Apr 3, 2009

Last updated

Apr 3, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Home and Wound Care Physicians PC

  • Family Medicine Physician
  • Skokie, IL
  • NPI 1689809170
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238716800000",
    "number": "1104068204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 S. FOREST AVENUE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131286",
            "telephone_number": "708-485-9219",
            "fax_number": "708-485-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 S. FOREST AVENUE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131286",
            "telephone_number": "708-485-9219",
            "fax_number": "708-485-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRESSOLA",
        "first_name": "MICHAEL",
        "credential": "ACNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-03",
        "last_updated": "2009-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209007505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Essential Prosthetics and Orthotics
• Family Doctors of Brookfield SC (The Family Doctors)
• Adam Forsythe
• Christopher Forte, DDS
• Laura Foster, SLP
• Gerald P Gardner, DDS
• Cristina Garza, MS. CCC-SLP
• Ehtesham J Ghani, MD
• Mary Elizabeth Gill, M.S., CCC-SLP
• Svetlana Grocic

• Acute Care Nurse Practitioner in Brookfield, IL
• Providers in Brookfield, IL by specialty
• Acute Care Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.