Healthcare Provider Details

I. General information

NPI: 1194399071
Provider Name (Legal Business Name): ELIZABETH ANN VORHEES DNP, AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH ANN HOPPENSTEADT

II. Dates (important events)

Enumeration Date: 05/16/2021
Last Update Date: 06/19/2024
Certification Date: 06/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1875 DEMPSTER ST STE 555
PARK RIDGE IL
60068-1188
US

IV. Provider business mailing address

29373 NETWORK PL
CHICAGO IL
60673-1293
US

V. Phone/Fax

Practice location:
  • Phone: 847-698-5500
  • Fax: 847-698-5517
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209.023116
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number209023116
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209-023116
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: