Elizabeth Portillo
Elizabeth Portillo is a Nurse Practitioner in Chicago, Illinois. Qualified in 2019, 7 years ago. Practices with Prime Healthcare Illinois Medical Group LLC, a 281-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 7
- Licensed in
- IL
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
2233 W Division StChicago, IL 60622-8151
Phone: (312) 770-2000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1845 Grandstand Pl, Elgin, IL 60123-6603 — (847) 695-0484
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 209021646 (IL) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1306261615 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 23, 2014 |
| Last updated in NPPES | September 2, 2020 |
| Certification date | September 2, 2020 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Prime Healthcare Illinois Medical Group Llc — 281 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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