Individual
ELIZABETH FAUSTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9669 KENTON AVE STE 608, SKOKIE, IL 60076-1248
(847) 677-4111
(847) 677-3343
Mailing address
9735 SKOKIE BLVD, SKOKIE, IL 60077-1383
(847) 380-8969
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209019733
IL
Other
Enumeration date
11/20/2019
Last updated
04/20/2021
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