Fairand, Elyse

Fairand, Elyse is an sole proprietor health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Fairand, Elyse can be contacted via phone (312) 774-6297.

Contact Information

Primary practice address
2160 S 1St Ave Maywood IL 60153-3328
Phone: (312) 774-6297
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 209024276 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AG06210021 Ohio

Profile Details

NPI number 1376214262
LBN Legal business name Fairand, Elyse
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2021
Last updated May 19th, 2022 - about 3 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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