Individual
ELIZABETH ANNE PFAENDTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 702-3559
(773) 834-0694
Mailing address
1310 W MONTROSE AVE, APT 1, CHICAGO, IL 60613-1305
(786) 473-7042
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209011089
IL
363LA2100X
Acute Care Nurse Practitioner
9296928
FL
Other
Enumeration date
08/13/2013
Last updated
07/19/2017
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