MEDICARE: RITA I ELUE APN-CNP

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
1	363L00000X	Nurse Practitioner	209020214	IL
2	363LF0000X	Family Nurse Practitioner	309.016474	IL

General Provider Information

NPI Number	:	1881291706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RITA I ELUE APN-CNP

Provider Business Mailing Address
First Line	:	9600 GROSS POINT RD.
Second Line	:	DEPARTMENT OF ANESTHESIA
City	:	SKOKIE
State	:	IL
Zip	:	60076-1214
Country	:	US
Telephone Number	:	847-933-6700
Fax Number	:	847-933-6772

Provider Business Practice Location Address
First Line	:	9600 GROSS POINT RD.
Second Line	:	DEPARTMENT OF ANESTHESIA
City	:	SKOKIE
State	:	IL
Zip	:	60076-1214
Country	:	US
Telephone Number	:	847-933-6700
Fax Number	:	847-933-6772

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2020
Last Update Date	:	04/06/2026

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