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Michelene Ellegood, MSN, FNP-BC

Nurse Practitioner, Family in Maywood, IL. Individual provider (NPI-1).

NPI number1174802482
StatusActive
Last updated in NPPESFeb 25, 2013

Details

NPI
1174802482
Entity type
Individual (NPI-1)
Name
Michelene Ellegood
Credential
MSN, FNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
Aug 4, 2011
Last updated
Feb 25, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family209008945ILYes

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328

Phone 708-216-9000

Mailing address

2160 S 1st Ave
Maywood, IL 60153-3328

Phone 708-216-9000

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Other Family Nurse Practitioner providers in Maywood, IL

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