Individual
JILL M ELEFTHERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8040 CLEARVISTA PKWY STE 240, INDIANAPOLIS, IN 46256-4673
(317) 621-0100
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000658A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000691734
ANTHEM
IN
01
—
000000763624
ANTHEM
IN
05
—
300005113
—
IN
01
—
P01152227
RAILROAD MEDICARE
IN
Enumeration date
01/16/2006
Last updated
08/29/2024
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