Healthcare Provider Details

I. General information

NPI: 1386675114
Provider Name (Legal Business Name): GIA MARIE SPIOTTO RN, CPNP-AC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 E CHICAGO AVE
CHICAGO IL
60611-2991
US

IV. Provider business mailing address

225 E. CHICAGO AVE 8TH FLOOR ADA
CHICAGO IL
60611-3833
US

V. Phone/Fax

Practice location:
  • Phone: 312-227-4100
  • Fax:
Mailing address:
  • Phone: 312-227-4100
  • Fax: 312-227-9640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number041331840
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number209005961
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: