Individual
ELIZABETH GAWNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 W 95TH ST, OAK LAWN, IL 60453-2654
(773) 451-6221
Mailing address
4400 W 95TH ST, OAK LAWN, IL 60453-2654
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209020685
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209020685
ADVANCED PRACTICE REGISTERED NURSE
IL
Enumeration date
02/09/2020
Last updated
12/20/2021
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