Individual provider · Type 1 NPI

Michelene Ellegood, MSN, FNP-BC

Family Nurse Practitioner · Maywood, IL

NPI number 1174802482 Active

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	209008945 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1174802482

Michelene Ellegood, MSN, FNP-BC's National Provider Identifier is 1174802482, issued on Aug 4, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Maywood, IL. The record was last updated on Feb 25, 2013.