Individual
ELISE TEICHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
3001 GREEN BAT RD, NORTH CHICAGO, IL 60064
(847) 688-1900
Mailing address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(847) 688-1900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.011935
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123195
VHA
IL
Enumeration date
12/06/2018
Last updated
12/06/2018
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