IndividualActive
Brandi Ithal, APRN
NPI 1669060042 · Acute Care Nurse Practitioner · Maywood, IL
Provider details
- NPI number
- 1669060042
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 209023222 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (630) 391-0962
Approximate (ZIP-level) locationGet directions
Mailing address
2160 S 1st Ave
Maywood, IL 60153-3328
Registry dates
- Enumerated
- 2021-01-01
- Last updated
- 2022-06-03
- Certified
- 2022-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.