Individual
ELYSIA CAPPELLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2560
Mailing address
4901 SEARLE PKWY, SKOKIE, IL 60077-5313
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209030057
IL
363LF0000X
Family Nurse Practitioner
RN2269716
MA
Other
Enumeration date
09/06/2014
Last updated
08/20/2024
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