Individual
ELLIANA BRODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
3100 DUNDEE RD STE 101, NORTHBROOK, IL 60062-2462
(847) 432-8000
Mailing address
3100 DUNDEE RD STE 101, NORTHBROOK, IL 60062-2462
(224) 216-2360
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.529434
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.033097
IL
Other
Enumeration date
04/07/2025
Last updated
12/03/2025
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