Individual
ELIZABETH ROBIN NYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
345 ASHLAND AVE, RIVER FOREST, IL 60305-2109
(312) 670-2530
(312) 670-2630
Mailing address
345 ASHLAND AVE, RIVER FOREST, IL 60305-2109
(312) 670-2530
(312) 670-2630
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036074722
IL
207VG0400X
Gynecology Physician
036074722
IL
207VX0000X
Obstetrics Physician
036074722
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036074722
—
IL
01
—
1356356166
INDIVIDUAL NPI
IL
01
—
1821211129
GROUP NPI
IL
01
—
31603891
BC/BS PROVIDER NUMBER
IL
Enumeration date
07/30/2006
Last updated
05/28/2021
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