Individual
ELISE NOELLE LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1425 N RANDALL RD, ELGIN, IL 60123-2300
(224) 783-3450
(224) 783-1124
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.012334
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
F400193714
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
12/22/2014
Last updated
03/06/2025
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