ELITE PRACTITIONER LLC NPI 1619434420

NPI Information

NPI: 1619434420
Provider Name: ELITE PRACTITIONER LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
151 N MICHIGAN AVE STE 210
CHICAGO, IL
ZIP 60601
Phone: (773) 299-4804
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ELITE PRACTITIONER LLC is a family nurse practitioner in Chicago, IL. ELITE PRACTITIONER LLC NPI is 1619434420. The provider is registered as an organization entity type.

The provider's business location address is:

151 N MICHIGAN AVE STE 210
CHICAGO, IL
ZIP 60601-506
Phone: (773) 299-4804

The provider's authorized official is Emem T. Obot .
The authorized official title is Executive Nurse Officer and has the following contact phone number (773) 299-4804.

The enumeration date for this NPI number is 2/28/2019 and was last updated on 10/16/2023.

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
1	305S00000X	Point of Service				No
2	363LF0000X	Nurse Practitioner	Family			Yes

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: 4/28/2024

NPI Synchronization or Removal

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