Florence Pluviose Bissell

Individual provider Active NPI Case Management Registered Nurse · Addison, IL

NPI 1982179420 · NPPES record last updated Oct 11, 2018

Key facts

NPI
1982179420
Entity type
Individual (NPI type 1)
Primary specialty
Case Management Registered Nurse 163WC0400X
License
041316612 (IL)
Practice address
1111 W Lake St
Addison, IL 60101-1101
Phone
(630) 628-1811
Fax
(630) 628-1501
NPI assigned
Oct 11, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
041316612ILMDCase Management Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 041316612 IL Yes

Addresses

Primary practice location

1111 W Lake St
Addison, IL 60101-1101

Mailing address

600 W Fulton St Ste 200
Chicago, IL 60661-1262
Phone (312) 526-2411

Other providers in Addison, IL

All providers in Addison, IL · Case Management Registered Nurse in Illinois

Sources for this page

Verify at the official NPI Registry.