Healthcare Provider Details

I. General information

NPI: 1356326276
Provider Name (Legal Business Name): PAULA Z. OVERSTREET ARNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 01/20/2023
Certification Date: 01/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 HOBSON RD STE 216
NAPERVILLE IL
60540-8138
US

IV. Provider business mailing address

574 BOVIDAE CIR
NAPERVILLE IL
60565-6184
US

V. Phone/Fax

Practice location:
  • Phone: 630-369-2767
  • Fax:
Mailing address:
  • Phone: 773-517-7349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209.001771
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberSP008701
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN563785
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041.296959
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: