Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elyse Fairand

Individual provider Gerontology Nurse Practitioner · NPI 1376214262

Elyse Fairand is a Nurse Practitioner in Maywood, Illinois. Qualified in 2021, 5 years ago. Practices with Loyola University Medical Center, a 946-clinician group and accepts Medicare assignment. Licensed in Illinois and Ohio.

Years since qualifying
5
Licensed in
IL, OH
In the registry since
2021
Specialties on file
2

Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (312) 774-6297
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 209024276 (IL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AG06210021 (OH)

Record details

NPI number1376214262
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 22, 2021
Last updated in NPPESMay 19, 2022
Certification dateMay 19, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Loyola University Medical Center — 946 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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