Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIZABETH NICOLE MANCUSO, MB BCH BAO
DeactivatedELIZABETH NICOLE MANCUSO, MB BCH BAO is a Pediatric Critical Care Medicine healthcare provider located in CHICAGO, Illinois. NPI 1265056659 is deactivated in the NPPES registry. Verify at CMS.
Pediatric Critical Care Medicine · CHICAGO, IL
This NPI has been deactivated.
The record was deactivated on January 18, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1265056659
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 2, 2020 (1.6301369863014 yrs)
- Last Updated
- Jun 29, 2023
- Deactivated
- Jan 18, 2022
- License
-
036.165352 (IL)
Practice Information
- Address
-
5841 S MARYLAND AVE # MC1145CHICAGO, IL, 606371443Browse IL providers · Browse ZIP 60637
- Phone
- 7737023020
- Primary Specialty
-
Pediatric Critical Care Medicine
2080P0203X
Other Pediatric Critical Care Medicine Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| DR. MOHAMMAD I AKHTAR | M.D. | 1942294897 |
| DR. STEVEN O LESTRUD | MD | 1285619726 |
| ZEHAVA LELA NOAH | MD | 1942269634 |
| DR. KELLY NICOLE MICHELSON | MD MPH | 1306806278 |
| DEREK S WHEELER | M.D. | 1912959610 |
| RACHEL WOLFSON | — | 1407897887 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.