Provider Demographics
NPI:1104515972
Name:SPITTLER, GENEVIEVE MARIE (DNP APRN AGACNP-BC)
Entity type:Individual
Prefix:DR
First Name:GENEVIEVE
Middle Name:MARIE
Last Name:SPITTLER
Suffix:
Gender:F
Credentials:DNP APRN AGACNP-BC
Other - Prefix:
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Mailing Address - Street 1:261 BUTTE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60490-1515
Mailing Address - Country:US
Mailing Address - Phone:630-267-4137
Mailing Address - Fax:
Practice Address - Street 1:RUSH UNIVERSITY MEDICAL GROUP
Practice Address - Street 2:2040 OGDEN AVENUE, SUITE 304
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504
Practice Address - Country:US
Practice Address - Phone:630-898-3727
Practice Address - Fax:630-499-2430
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-05
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL209.027318363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care