Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ILENE FORTIN
ActiveILENE FORTIN is a Community Health Worker healthcare provider located in PARK RIDGE, Illinois. NPI 1710288683 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · PARK RIDGE, IL
Registration Details
- NPI Number
- 1710288683
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 9, 2010 (15.801377241997 yrs)
- Last Updated
- Nov 9, 2010
Practice Information
- Address
-
819 BUSSE HWYPARK RIDGE, IL, 600682360Browse IL providers · Browse ZIP 60068
- Phone
- 8476961570
- Primary Specialty
-
Community Health Worker
172V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.