Black, Elizabeth

Black, Elizabeth is an individual health care provider with primary practice located at 2650 Warrenville Rd 280, Downers Grove IL 60515-1748. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Black, Elizabeth can be contacted via phone (630) 324-7900.

Contact Information

Primary practice address
2650 Warrenville Rd 280 Downers Grove IL 60515-1748
Phone: (630) 324-7900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 71003918A Indiana

Profile Details

NPI number 1205194875
LBN Legal business name Black, Elizabeth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2012
Last updated May 2nd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205194875 NPPES
Indiana Other 71003918A RN LICENSE

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