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NPI Code Detail

MEDICARE: DR. ELINA Y GILGUR DNP

MEDICARE:  DR. ELINA Y GILGUR  DNP
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
1363L00000XNurse Practitioner6422WI

Other Identifiers

General Provider Information

NPI Number : 1407239387
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELINA Y GILGUR DNP
Provider Business Mailing Address
First Line : PO BOX 735044
Second Line :
City : CHICAGO
State : IL
Zip : 60673-5044
Country : US
Telephone Number : 800-326-2250
Fax Number :
Provider Business Practice Location Address
First Line : 10800 W CAPITOL DR
Second Line :
City : WAUWATOSA
State : WI
Zip : 53222-1109
Country : US
Telephone Number : 414-462-2373
Fax Number : 414-462-2393
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2015
Last Update Date : 09/23/2024

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Directions to “ DR. ELINA Y GILGUR DNP” Practice Location

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