Individual
ELIZABETH BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-3166
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.146792
IL
Other
Enumeration date
05/15/2015
Last updated
06/06/2019
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