Organization
ELLEN GAO APRN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN ALENCIKS (DIRECTOR OF OPERATIONS)
(773) 649-0759
Entity
Organization
Contact information
Practice address
2500 W BRADLEY PL, CHICAGO, IL 60618-4716
(877) 552-6672
Mailing address
2500 W BRADLEY PL, CHICAGO, IL 60618-4716
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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