Elliott, Erica L

Elliott, Erica L is an individual health care provider with primary practice located at 3351 W Main St , St Charles IL 60175-1004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Elliott, Erica L can be contacted via phone (800) 323-8622.

Contact Information

Primary practice address
3351 W Main St St Charles IL 60175-1004
Phone: (800) 323-8622
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209.009585 Illinois

Profile Details

NPI number 1659634129
LBN Legal business name Elliott, Erica L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2012
Last updated Oct 5th, 2022 - about 2 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 1659634129 NPPES
Illinois Other 309.005869 STATE CDS
Illinois Other 209.009585 STATE CDS

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