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NPI Code Detail

MEDICARE: HIEDI ELAFIFI

MEDICARE:   HIEDI  ELAFIFI
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
1163W00000XRegistered Nurse041.527538IL

General Provider Information

NPI Number : 1942166673
Entity Type Code : Individual
Provider Name (Legal Business Name) : HIEDI ELAFIFI
Provider Business Mailing Address
First Line : 1588 REDWOOD RD
Second Line :
City : PINGREE GROVE
State : IL
Zip : 60140-1013
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1588 REDWOOD RD
Second Line :
City : PINGREE GROVE
State : IL
Zip : 60140-1013
Country : US
Telephone Number : 224-465-3341
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2025
Last Update Date : 12/26/2025

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Directions to “ HIEDI ELAFIFI ” Practice Location

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