Active NPI
Giovanna Antonelli, MSN, RN, AGACNP-BC
- Acute Care Nurse Practitioner
- Chicago, IL
National Provider Identifier
1407424690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 209014990
- Practice address
- 7435 W Talcott Ave
Chicago, IL 60631-3707 - Phone
- (773) 990-7436
- NPI assigned
- Jun 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 209014990 | IL | Primary |
Addresses
Primary practice location
7435 W Talcott Ave
Chicago, IL 60631-3707
Mailing address
33052 N Ridge Rd
Grayslake, IL 60030-2146
Phone (847) 548-7734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209014990 | IL | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1407424690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33052 N RIDGE RD",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600302146",
"telephone_number": "847-548-7734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7435 W TALCOTT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313707",
"telephone_number": "773-990-7436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTONELLI",
"first_name": "GIOVANNA",
"name_prefix": "Miss",
"credential": "MSN, RN, AGACNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-14",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": "IL",
"license": "209014990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.