Fagan, Elyse

Fagan, Elyse is an sole proprietor health care provider with primary practice located at 10430 S Spaulding Ave , Chicago IL 60655-2427. She recently has only one registered license in Nursing Service Providers / Lactation Consultant, which is considered as her primary health care specialty. Fagan, Elyse can be contacted via phone (708) 945-9673.

Contact Information

Primary practice address
10430 S Spaulding Ave Chicago IL 60655-2427
Phone: (708) 945-9673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Lactation Consultant 163WL0100X 041363532 Illinois

Profile Details

NPI number 1821520800
LBN Legal business name Fagan, Elyse
Credentials CNS, IBCLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2017
Last updated Mar 29th, 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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