MICHAEL FRESSOLA ACNP NPI 1104068204

NPI Information

  • NPI: 1104068204
  • Provider Name: MICHAEL FRESSOLA, ACNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3623 S. FOREST AVENUE
    BROOKFIELD, IL
    ZIP 60513
  • Phone: (708) 485-9219

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NPI Details

Michael Fressola, ACNP is an acute care nurse practitioner in Brookfield, IL. Michael Fressola, ACNP NPI is 1104068204. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3623 S. FOREST AVENUE
BROOKFIELD, IL
ZIP 60513-286
Phone: (708) 485-9219
Fax: (708) 485-2300

The NPI 1104068204 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/3/2009 and was last updated on 4/3/2009.

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
1363LA2100XNurse PractitionerAcute Care209007505ILLINOISYes

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: 11/21/2025

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