Elliott, Iva

Elliott, Iva is an sole proprietor health care provider with primary practice located at 4119 S Wabash Ave Apt 2 , Chicago IL 60653-2122. She recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as her primary health care specialty. Elliott, Iva can be contacted via phone (312) 914-3280.

Contact Information

Primary practice address
4119 S Wabash Ave Apt 2 Chicago IL 60653-2122
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X

Profile Details

NPI number 1447787155
LBN Legal business name Elliott, Iva
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2017
Last updated May 12th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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