Elliott, Jordan Elyse

Elliott, Jordan Elyse is an sole proprietor health care provider with primary practice located at 1520 W Harrison St , Chicago IL 60607-3106. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Elliott, Jordan Elyse can be contacted via phone (224) 639-0324.

Contact Information

Primary practice address
1520 W Harrison St Chicago IL 60607-3106
Phone: (224) 639-0324
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 209027471 Illinois

Profile Details

NPI number 1457130247
LBN Legal business name Elliott, Jordan Elyse
Credentials DNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2023
Last updated Sep 21st, 2023 - about last year

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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