MICHAEL FRESSOLA ACNP
NPI 1104068204
Nurse Practitioner - Acute Care in Brookfield, IL

Q: What is Michael Fressola's NPI number?

The NPI number for Michael Fressola is 1104068204. It was assigned to this individual provider in the NPPES registry on April 3, 2009.

Q: What is Michael Fressola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Michael Fressola was last updated on April 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 03, 2009

3623 S. FOREST AVENUE, BROOKFIELD, IL 60513(708) 485-9219(708) 485-2300 Get Directions Write a Review

NPPES record last updated: April 3, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael Fressola Acnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL FRESSOLA ACNP (NPI 1104068204) is an individual acute care provider in Brookfield, Illinois, licensed in Illinois (209007505) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1104068204

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameMICHAEL FRESSOLACredential: ACNP

Location Address3623 S. FOREST AVENUEBrookfield, IL 60513-1286

Mailing Address3623 S. Forest AvenueBrookfield, IL 60513-1286 · (708) 485-9219 · Fax (708) 485-2300

Phone(708) 485-9219

Fax(708) 485-2300

Sole ProprietorYes

Enumeration DateApril 3, 2009

✔ NPI 1104068204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in IL · 209007505

3623 S. FOREST AVENUE, Brookfield, IL 60513

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Fressola's NPI number?

The NPI number for Michael Fressola is 1104068204. It was assigned to this individual provider in the NPPES registry on April 3, 2009.

Where is Michael Fressola located?

Michael Fressola practices at 3623 S. Forest Avenue, Brookfield, IL 60513. The listed phone number is (708) 485-9219.

What is Michael Fressola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Michael Fressola was last updated on April 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.