Individual
JORDAN ELYSE ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1520 W HARRISON ST, CHICAGO, IL 60607-3106
(224) 639-0324
Mailing address
323 ILLINOIS ST, CRYSTAL LAKE, IL 60014-3618
(224) 639-0324
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
209027471
IL
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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