Organization
ELITE PRACTITIONER LLC
Active
Organization
ELITE PRACTITIONER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS EMEM T. OBOT FNP-C (EXECUTIVE NURSE OFFICER)
(773) 299-4804
Entity
Organization
Contact information
Practice address
151 N MICHIGAN AVE STE 210, CHICAGO, IL 60601-7506
(773) 299-4804
Mailing address
151 N MICHIGAN AVE STE 210, CHICAGO, IL 60601-7506
(773) 299-8404
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/28/2019
Last updated
10/16/2023
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