Individual
ELLEN ANG GAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201
(847) 425-6400
(847) 570-2939
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 425-6400
(847) 570-2939
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209019665
IL
Other
Enumeration date
08/05/2019
Last updated
11/11/2019
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