Individual
ELIZABETH CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
375 N WALL ST, KANKAKEE, IL 60901-3483
(815) 401-4603
Mailing address
111 S ELM AVE, SAINT ANNE, IL 60964-5460
(815) 450-8399
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209025851
IL
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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