Healthcare Provider Details

I. General information

NPI: 1083177489
Provider Name (Legal Business Name): DENA PELLETREAU APN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DENA TAROSAS

II. Dates (important events)

Enumeration Date: 04/11/2019
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

880 W CENTRAL RD STE 7100
ARLINGTON HEIGHTS IL
60005-2379
US

IV. Provider business mailing address

880 W CENTRAL RD STE 7100
ARLINGTON HEIGHTS IL
60005-2379
US

V. Phone/Fax

Practice location:
  • Phone: 847-618-2500
  • Fax: 847-618-7834
Mailing address:
  • Phone: 847-618-2500
  • Fax: 847-392-7834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209019115
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number209019115
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: