Individual
ELIZABETH STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1150 W FULLERTON AVE, CHICAGO, IL 60614-8160
(773) 549-7757
(773) 549-1221
Mailing address
1000 REMINGTON BLVD, SUITE 100, BOLINGBROOK, IL 60440-5114
(630) 914-2417
(630) 914-2499
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
041196888
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209008927
APN LICENSE
IL
Enumeration date
01/29/2014
Last updated
01/29/2014
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