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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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