Individual
ELISSA ALSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
320 E 21ST ST, CHICAGO, IL 60616-3190
(773) 340-0822
Mailing address
4000 W MONTROSE AVE # 901, CHICAGO, IL 60641-2140
(773) 340-0822
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041379530
IL
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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