CHELSEA POULOS DNP APRN CPNP-AC NPI 1649903188

NPI Information

NPI: 1649903188
Provider Name: CHELSEA POULOS, DNP, APRN, CPNP-AC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
9555 S 52ND AVE
OAK LAWN, IL
ZIP 60453
Phone: (708) 684-8000
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Chelsea Poulos, DNP, APRN, CPNP-AC is a family nurse practitioner in Oak Lawn, IL. Chelsea Poulos, DNP, APRN, CPNP-AC NPI is 1649903188. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9555 S 52ND AVE
OAK LAWN, IL
ZIP 60453-054
Phone: (708) 684-8000

The NPI 1649903188 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/1/2022 and was last updated on 10/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		209.025172	ILLINOIS	No
2	2088P0231X	Urology	Pediatric Urology	209.025172	ILLINOIS	No
3	363LA2100X	Nurse Practitioner	Acute Care	209.025172	ILLINOIS	No
4	363LF0000X	Nurse Practitioner	Family	209.025172	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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