Provider Demographics
NPI:1316151004
Name:ROLFSEN, NORMA
Entity type:Individual
Prefix:
First Name:NORMA
Middle Name:
Last Name:ROLFSEN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5308 S HYDE PARK BLVD
Mailing Address - Street 2:3R
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-5737
Mailing Address - Country:US
Mailing Address - Phone:312-791-3455
Mailing Address - Fax:312-791-4158
Practice Address - Street 1:2929 S ELLIS AVE
Practice Address - Street 2:4 KAPLAN
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-3395
Practice Address - Country:US
Practice Address - Phone:312-791-3455
Practice Address - Fax:312-791-4158
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041-245587163W00000X
IL209-005298363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse