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Elyse Fairand
Gerontology Nurse Practitioner in Maywood, Illinois
NPI 1376214262

Elyse Fairand is a Gerontology Nurse Practitioner based in Maywood, IL and is specialized in Gerontology. Elyse Fairand practices in Maywood, IL. The NPI Number for Elyse Fairand is 1376214262 and holds a License No. 209024276 (Illinois).

The current practice location address for Elyse Fairand is 2160 S 1St Ave, Maywood, IL and can be reached out via phone at 312-774-6297.

Location: 2160 S 1St Ave, Maywood, IL, 60153-3328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376214262
Provider Name
Elyse Fairand
Credential
Provider Entity Type
Individual
Gender
Female
Address
2160 S 1St Ave, Maywood, IL, 60153-3328
Phone Number
312-774-6297
Fax Number
Provider Enumeration Date
09/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
312-774-6297
Fax Number
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
312-774-6297
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
209024276 (Illinois)
Definition
Definition to come...
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