Individual
ELIANA J MENNINGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2203 W ADDISON ST BSMT B, CHICAGO, IL 60618-4941
(312) 702-0435
Mailing address
2203 W ADDISON ST BSMT B, CHICAGO, IL 60618-4941
(312) 702-0435
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
041494686
IL
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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