Provider Demographics
NPI:1528757283
Name:DESIMONE, JOSEPH (APN-CNP)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:DESIMONE
Suffix:
Gender:M
Credentials:APN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 W KIRCHHOFF RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-2361
Mailing Address - Country:US
Mailing Address - Phone:847-618-0190
Mailing Address - Fax:847-618-4171
Practice Address - Street 1:901 W KIRCHHOFF RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-2361
Practice Address - Country:US
Practice Address - Phone:847-618-0190
Practice Address - Fax:847-618-4171
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-08
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209027861363LP0808X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health