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NPI Code Detail

MEDICARE: ELIZABETH BEVERLY STRUS APRN

MEDICARE:   ELIZABETH BEVERLY STRUS  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse041355651IL
2363LF0000XFamily Nurse Practitioner209017478IL

General Provider Information

NPI Number : 1932691177
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH BEVERLY STRUS APRN
Provider Business Mailing Address
First Line : 1359 W ARGYLE ST APT 3D
Second Line :
City : CHICAGO
State : IL
Zip : 60640-3500
Country : US
Telephone Number : 847-668-3446
Fax Number :
Provider Business Practice Location Address
First Line : 1725 W HARRISON ST STE 1010
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3841
Country : US
Telephone Number : 312-226-2371
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2018
Last Update Date : 09/10/2021

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Directions to “ ELIZABETH BEVERLY STRUS APRN” Practice Location

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