Individual
MS. ELLEN M. CHIOCCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, CPNP
Contact information
Practice address
1015 W LAWRENCE AVE, CHICAGO, IL 60640-5017
(773) 275-2586
Mailing address
9119S EXCHANGE AVE, CHICAGO, IL 60617-4225
(773) 768-5000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209003195
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3525
—
IL
Enumeration date
03/07/2007
Last updated
12/11/2015
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