MEDICARE: OLIVIA NICOLE CORRADO APRN, CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	AP60515110	WA
2	363L00000X	Nurse Practitioner	209022755	IL
3	367A00000X	Advanced Practice Midwife	209022755	IL

General Provider Information

NPI Number	:	1699173856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA NICOLE CORRADO APRN, CNM

Provider Business Mailing Address
First Line	:	1 ERIE CT STE 7120
Second Line	:
City	:	OAK PARK
State	:	IL
Zip	:	60302-2510
Country	:	US
Telephone Number	:	773-573-0020
Fax Number	:	773-573-0029

Provider Business Practice Location Address
First Line	:	1 ERIE CT STE 7120
Second Line	:
City	:	OAK PARK
State	:	IL
Zip	:	60302-2510
Country	:	US
Telephone Number	:	773-573-0020
Fax Number	:	773-537-0029

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2014
Last Update Date	:	01/26/2026

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