Individual provider · Type 1 NPI
Elena Ignatiev
Primary Care Nurse Practitioner · Chicago, IL
NPI number
1194374637
Active
Practice location
5841 S Maryland Ave
Chicago, IL 60637-1443
Mailing address
150 Harvester Dr, Suite 300
Burr Ridge, IL 60527-5919
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 209019828 (IL) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1194374637
Elena Ignatiev's National Provider Identifier is 1194374637, issued on Sep 7, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Chicago, IL. The record was last updated on Oct 24, 2022.