Individual
ELANA BLIVAISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2211 N OAK PARK AVE, CHICAGO, IL 60707-3351
(773) 662-5400
Mailing address
2211 N OAK PARK AVE, CHICAGO, IL 60707-3351
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209013272
IL
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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