Chiocca, Ellen M.

Chiocca, Ellen M. is an individual health care provider with primary practice located at 1015 W Lawrence Ave , Chicago IL 60640-5017. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Chiocca, Ellen M. can be contacted via phone (773) 275-2586.

Contact Information

Primary practice address
1015 W Lawrence Ave Chicago IL 60640-5017
Phone: (773) 275-2586
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209003195 Illinois

Profile Details

NPI number 1922139658
LBN Legal business name Chiocca, Ellen M.
Credentials APN, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Dec 11th, 2015 - about 11 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 1922139658 NPPES
Illinois MEDICAID 3525

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