Healthcare Provider Details

I. General information

NPI: 1891220257
Provider Name (Legal Business Name): ARTURO VENTURA FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2017
Last Update Date: 08/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 S RIVER ST
AURORA IL
60506
US

IV. Provider business mailing address

694 N WESTERN LN
ADDISON IL
60101-1594
US

V. Phone/Fax

Practice location:
  • Phone: 630-844-8226
  • Fax: 630-844-3084
Mailing address:
  • Phone: 630-935-7347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number041286056
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209015948
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number309011447
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: