Elizabeth Black NP

NPI 1205194875 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1205194875
Gender Female
Enumeration Date 05/02/2012
Last Updated 05/02/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
2650 WARRENVILLE RD
280
DOWNERS GROVE IL, 60515-1748, US
Phone (630) 324-7900
Fax
Business Location
2650 WARRENVILLE RD
280
DOWNERS GROVE IL, 60515-1748, US
Phone (630) 324-7900
Fax
Toxanomy
Taxonomy Code 363LA2100X
License State Indiana
License Number 71003918A
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According to our database, Elizabeth Black NP NPI is 1205194875, taxonomy code is 363LA2100X and license number is 71003918A, license state is located at Indiana. Elizabeth Black NP physically located at 2650 Warrenville Rd, Downers Grove IL, 60515-1748. NPI Number Elizabeth Black NP has the Individual type.

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1205194875 NPI number is provided on an as is basis without warranty of any kind. 1205194875 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth Black NP are for informational purposes only.