MEDICARE: ELLEN ASTRACHAN-FLETCHER

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	071005775	IL

General Provider Information

NPI Number	:	1962414318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLEN ASTRACHAN-FLETCHER

Provider Business Mailing Address
First Line	:	912 S WOOD ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-4300
Country	:	US
Telephone Number	:	312-996-0123
Fax Number	:	312-996-9788

Provider Business Practice Location Address
First Line	:	912 S WOOD ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-4300
Country	:	US
Telephone Number	:	312-355-1223
Fax Number	:	312-996-9788

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

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	03/20/2008

Similar Medicare Providers

1689622029 — TERESA LUPA SRIPADA M.D.
Practice Location Address:

912 S WOOD ST , M/C 912
CHICAGO, IL
60612-4300

Practice Phone: 312-355-1221
Practice Fax: 312-413-4915

1386696748 — DR. MARK T WRIGHT MD
Practice Location Address:

912 S WOOD ST # MC913 , UIC DEPARTMENT OF PSYCHIATRY
CHICAGO, IL
60612-4300

Practice Phone: 312-996-6139
Practice Fax: 312-413-7856

1609822147 — THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Practice Location Address:

912 S WOOD ST
CHICAGO, IL
60612-4300

Practice Phone: 312-413-3783
Practice Fax: 312-996-3514

1548200025 — JEFFREY ARLIN LOEB MD PHD
Practice Location Address:

912 S WOOD ST , M/C 796
CHICAGO, IL
60612-4300

Practice Phone: 312-996-1757
Practice Fax:

1740213347 — OLUSOLA A. AJILORE M.D.
Practice Location Address:

912 S WOOD ST
CHICAGO, IL
60612-4300

Practice Phone: 312-996-7206
Practice Fax:

1922010230 — STEVAN WEINE
Practice Location Address:

912 S WOOD ST
CHICAGO, IL
60612-4300

Practice Phone: 312-996-7206
Practice Fax: 312-996-9788

Directions to “ ELLEN ASTRACHAN-FLETCHER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.