Individual provider · Type 1 NPI

Ellena Marie Privitera

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1679411029 Active

Practice location

820 S Wood St
Chicago, IL 60612-4325

Mailing address

820 S Wood St Ste 100
Chicago, IL 60612-4325

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679411029

Ellena Marie Privitera's National Provider Identifier is 1679411029, issued on Mar 24, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Mar 24, 2026.