Healthcare Provider Details

I. General information

NPI: 1679074041
Provider Name (Legal Business Name): BRITTIANY ELISE LAY ACNPC-AG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTIANY ELISE LAY NP

II. Dates (important events)

Enumeration Date: 02/21/2018
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 E OGDEN AVE STE 202
WESTMONT IL
60559-1296
US

IV. Provider business mailing address

700 E OGDEN AVE STE 202
WESTMONT IL
60559-1296
US

V. Phone/Fax

Practice location:
  • Phone: 630-789-9785
  • Fax: 630-789-9798
Mailing address:
  • Phone: 630-789-9785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number209.017239
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number209017239
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License Number209017239
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: