Provider Demographics
NPI:1568226512
Name:EREIO, ELIZABETH BALDWIN (BSN, RN)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:BALDWIN
Last Name:EREIO
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5336 LAWN AVE
Mailing Address - Street 2:
Mailing Address - City:WESTERN SPRINGS
Mailing Address - State:IL
Mailing Address - Zip Code:60558-1846
Mailing Address - Country:US
Mailing Address - Phone:321-258-4697
Mailing Address - Fax:
Practice Address - Street 1:5336 LAWN AVE
Practice Address - Street 2:
Practice Address - City:WESTERN SPRINGS
Practice Address - State:IL
Practice Address - Zip Code:60558-1846
Practice Address - Country:US
Practice Address - Phone:321-258-4697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.542369163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse