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ELLEN BERZACK APN
NPI 1417225004
Nurse Practitioner - Adult Health in Park Ridge, IL

Active since December 09, 2011
1420 RENAISSANCE WAY DRIVE, SUITE 207, PARK RIDGE, IL 60068(847) 370-5176 Get Directions Write a Review

NPPES record last updated: December 9, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ellen Berzack Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN BERZACK APN (NPI 1417225004) is an individual adult health provider in Park Ridge, Illinois, licensed in Illinois (209009152) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1417225004
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameELLEN BERZACKCredential: APN
Location Address1420 RENAISSANCE WAY DRIVE, SUITE 207Park Ridge, IL 60068
Mailing Address625 W Wrightwood Ave, Unit 322Chicago, IL 60614-2543
Phone(847) 370-5176
Sole ProprietorNo
Enumeration DateDecember 9, 2011
✔ NPI 1417225004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IL · 209009152
1420 RENAISSANCE WAY DRIVE, Park Ridge, IL 60068
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Berzack's NPI number?

The NPI number for Ellen Berzack is 1417225004. It was assigned to this individual provider in the NPPES registry on December 9, 2011.

Where is Ellen Berzack located?

Ellen Berzack practices at 1420 Renaissance Way Drive Suite 207, Park Ridge, IL 60068. The listed phone number is (847) 370-5176.

What is Ellen Berzack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Ellen Berzack was last updated on December 9, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.