ELIZABETH IRENE FEVOLD

CHICAGO, IL
NPI1528382462
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: IL  209.007956)
Enumeration Date2010-03-22
Last Update Date2021-12-06
Business Address
ELIZABETH IRENE FEVOLD
225 E CHICAGO AVE BOX 2
CHICAGO, IL 60611-2991
Phone number: 312-227-4344
Mailing Address
ELIZABETH IRENE FEVOLD
4440 W 95TH ST
OAK LAWN, IL 60453-2600
Phone number: