Most Relevant Information
Provider Data
| NPI Number: | 1003680877 |
| Provider Name: | ELLEN V VANDEVENDER DNP, APRN-NP, NNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LN0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 209.028751 |
Most Important Dates
| Enumeration Date: | 11/13/2023 |
| Last Updated: | 11/13/2023 |
Provider Practice Location
225 E CHICAGO AVE
CHICAGO
IL
606112991
Practice Location Phone/Fax
| Phone: | 3122274000 |
| Fax: |
Provider Mailing Location
7S665 CARRIAGE WAY CT
NAPERVILLE
IL
605408241
Provider Mailing Phone/Fax
| Phone: | 6303355036 |
| Fax: |