Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael E. Fanelli, RN

Individual provider Gerontology Nurse Practitioner · NPI 1770106965

Michael E. Fanelli, RN is a Nurse Practitioner in Chicago, Illinois. Qualified in 2020, 6 years ago. Practices with Rush University Medical Group, a 1,499-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2020
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

4025 N Sheridan Rd
Chicago, IL 60613-2010
Phone: (773) 388-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5255 Loughboro Rd Nw, Washington, DC 20016-2696 — (202) 537-4553

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 209021539 (IL)

Record details

NPI number1770106965
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedMay 21, 2020
Last updated in NPPESFebruary 14, 2026
Certification dateFebruary 14, 2026
Mailing address4025 N Sheridan Rd, Chicago, IL 60613-2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Rush University Medical Group — 1499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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