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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IVA ELLIOTT

Active Sole Proprietor

IVA ELLIOTT is a Exclusive Provider Organization healthcare provider located in CHICAGO, Illinois. NPI 1447787155 is currently active in the NPPES registry. Verify at CMS.

Exclusive Provider Organization · CHICAGO, IL

Registration Details

NPI Number
1447787155
Provider Type
Individual
Gender
Female
NPI Issued
May 12, 2017 (9.2749730352487 yrs)
Last Updated
May 12, 2017
Sole Proprietor
Yes

Practice Information

Address
4119 S WABASH AVE APT 2
CHICAGO, IL, 606532122
Browse IL providers · Browse ZIP 60653
Phone
3129143280
Primary Specialty
Exclusive Provider Organization
302F00000X
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.