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ELITE PRACTITIONER LLC
NPI 1619434420
Nurse Practitioner - Family in Chicago, IL

Active since February 28, 2019
151 N MICHIGAN AVE STE 210, CHICAGO, IL 60601(773) 299-4804 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 16, 2023, Apr 10, 2023, Aug 20, 2021 and 1 more (4 updates tracked since 2019).

About Elite Practitioner Llc NPPES

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

ELITE PRACTITIONER LLC (NPI 1619434420) is a healthcare organization registered as a family in Chicago, Illinois and active in the NPI registry since February 2019. The organization lists Emem T. Obot, Executive Nurse Officer, as its authorized official.

NPPES Registry Identity

NPI1619434420
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameELITE PRACTITIONER LLC
Location Address151 N MICHIGAN AVE STE 210Chicago, IL 60601-7506
Mailing Address151 N Michigan Ave Ste 210Chicago, IL 60601-7506 · (773) 299-8404
Phone(773) 299-4804
Organization SubpartNo
Authorized OfficialEmem T. ObotExecutive Nurse Officer · (773) 299-4804
Enumeration DateFebruary 28, 2019
Last NPPES UpdateOctober 16, 20234 updates tracked since enumeration
NPPES CertifiedOctober 16, 2023
✔ NPI 1619434420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedPoint of ServiceTaxonomy 305S00000X
151 N MICHIGAN AVE STE 210, Chicago, IL 60601
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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 Elite Practitioner LLC's NPI number?

The NPI number for Elite Practitioner LLC is 1619434420. It was assigned to this organization in the NPPES registry on February 28, 2019.

Where is Elite Practitioner LLC located?

Elite Practitioner LLC is located at 151 N Michigan Ave Ste 210, Chicago, IL 60601. The listed phone number is (773) 299-4804.

What is Elite Practitioner LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Elite Practitioner LLC was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.