person
Ms. Lateisha Nicole Fort, APN
Acute Care Nurse Practitioner in Downers Grove, Illinois
NPI 1275024523

Lateisha Nicole Fort is an Acute Care Nurse Practitioner based in Chicago, IL and is specialized in Acute Care. Lateisha Nicole Fort practices in Downers Grove, IL and has the professional credentials of APN. The NPI Number for Lateisha Nicole Fort is 1275024523 and holds a License No. 209017544 (Illinois).

The current practice location address for Lateisha Nicole Fort is 3551 Highland Ave Ste 200A, Downers Grove, IL and can be reached out via phone at 844-376-3876 and via fax at 630-929-0633. You can also correspond with Lateisha Nicole Fort through the mailing address at 29373 NETWORK PL, CHICAGO, IL - 60673-3558 (mailing address contact number: 847-390-5900).

Location: 3551 Highland Ave Ste 200A, Downers Grove, IL, 60673-3558
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Provider Profile Details
NPI Number
1275024523
Provider Name
Lateisha Nicole Fort
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
3551 Highland Ave Ste 200A, Downers Grove, IL, 60673-3558
Phone Number
844-376-3876
Fax Number
630-929-0633
Provider Enumeration Date
05/22/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
921750533 01 IL PRIMARY CARE
institution
Provider Business Practice Location Address Details
Address
3551 Highland Ave Ste 200A
City
State
Zip
60515-2100
Phone Number
844-376-3876
Fax Number
630-929-0633
person
Provider Business Mailing Address Details
Address
29373 Network Pl
City
State
Zip
60673-3558
Phone Number
847-390-5900
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
209017544 (Illinois)
Definition
Definition to come...
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