Healthcare Provider Details

I. General information

NPI: 1801007422
Provider Name (Legal Business Name): ELYSSA JOY SPRINGER RN REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 E HURON NORTHWESTERN MEMORIAL HOSPITAL # 4-508
CHICAGO IL
60611
US

IV. Provider business mailing address

230 E ONTARIO # 1906
CHICAGO IL
60611
US

V. Phone/Fax

Practice location:
  • Phone: 312-926-4980
  • Fax: 312-926-2251
Mailing address:
  • Phone: 312-926-4980
  • Fax: 312-926-2251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: