Provider Type Icon

ELIZABETH BLACK NP NPI 1205194875


NPI Information

NPI: 1205194875
Provider Name: ELIZABETH BLACK, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Address:
2650 WARRENVILLE RD
280
DOWNERS GROVE, IL
ZIP 60515
Phone: (630) 324-7900
Get Directions

Elizabeth Black, NP is an acute care nurse practitioner in Downers Grove, IL. Elizabeth Black, NP NPI is 1205194875. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2650 WARRENVILLE RD
280
DOWNERS GROVE, IL
ZIP 60515-748
Phone: (630) 324-7900

The enumeration date for this NPI number is 5/2/2012 and was last updated on 5/2/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute Care71003918AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
171003918AOTHERINDIANARN LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.