Provider Demographics
NPI:1801007422
Name:SPRINGER, ELYSSA JOY (RN REGISTERED NURSE)
Entity Type:Individual
Prefix:MS
First Name:ELYSSA
Middle Name:JOY
Last Name:SPRINGER
Suffix:
Gender:F
Credentials:RN REGISTERED NURSE
Other - Prefix:
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Mailing Address - Street 1:230 E ONTARIO
Mailing Address - Street 2:# 1906
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611
Mailing Address - Country:US
Mailing Address - Phone:312-926-4980
Mailing Address - Fax:312-926-2251
Practice Address - Street 1:251 E HURON
Practice Address - Street 2:NORTHWESTERN MEMORIAL HOSPITAL # 4-508
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611
Practice Address - Country:US
Practice Address - Phone:312-926-4980
Practice Address - Fax:312-926-2251
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL163WD0400X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner