SearchIllinoisExclusive Provider Organization

Iva Elliott

NPI 1447787155 · on the registry since 2017 · sole proprietor

Practice

Address
4119 S Wabash Ave Apt 2
Chicago, IL 60653
Phone
(312) 914-3280

Registry record

Primary taxonomy
Exclusive Provider Organization
302F00000X
Sex
Female
Record last updated
2017-05-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois