Iva Elliott
Iva Elliott is an Exclusive Provider Organization in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
4119 S Wabash Ave Apt 2Chicago, IL 60653-2122
Phone: (312) 914-3280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X |
|---|
Record details
| NPI number | 1447787155 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 12, 2017 |
| Last updated in NPPES | May 12, 2017 |
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