Individual provider · Type 1 NPI
Emily Elizabeth Ingram
Psychiatric/Mental Health Nurse Practitioner · Chicago, IL
NPI number
1356078992
Active
Practice location
836 W Wellington Ave
Chicago, IL 60657-5147
Fax (773) 296-8978
Mailing address
29373 Network Pl
Chicago, IL 60673-1293
Other practice locations
- 2650 Ridge Ave, Evanston, IL 60201-1700 · (847) 570-2845
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 041426477 (IL) |
| Nurse Practitioner | 363L00000X | 209-026223 (IL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209-026223 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1356078992
Emily Elizabeth Ingram's National Provider Identifier is 1356078992, issued on Aug 3, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chicago, IL. The record was last updated on Jun 18, 2024.