Mendeloff, Elizabeth

Mendeloff, Elizabeth is an individual health care provider with primary practice located at 1010 Fairway Dr , Freeport IL 61032-6600. 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. Mendeloff, Elizabeth can be contacted via phone (815) 599-7950.

Contact Information

Primary practice address
1010 Fairway Dr Freeport IL 61032-6600
Phone: (815) 599-7950
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209006109 Illinois

Profile Details

NPI number 1689682411
LBN Legal business name Mendeloff, Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Sep 7th, 2021 - about 4 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 1689682411 NPPES
Illinois Other 041219602 REGISTERED NURSE LICENSE

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