ELIZABETH OSTOJA MSN, FNP, NPI 1003006099 — CHICAGO (IL)

NPI 1003006099

12+ Years Experience Individual

ELIZABETH OSTOJA MSN, FNP

07/26/2007
PROVIDER ENUMERATION DATE
01/14/2018
LAST UPDATE DATE
1003006099
NPI NUMBER

About ELIZABETH OSTOJA

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

ELIZABETH OSTOJA is a provider established in CHICAGO, IL. The NPI number of ELIZABETH OSTOJA is 1003006099 and was assigned on 07/26/2007. The practitioners primary taxonomy code is: 2471S1302X with license number: 117674 .

Mailing address

  • City: EAU CLAIRE
  • State: WI
  • Postal code: 547011841
  • Phone: 7158584500
  • Address: 1002 CLAIREMONT

Primary Practice Address

  • Region : CHICAGO, IL
  • NPI : 1003006099
  • Phone : 7737361762
  • Postalcode : 606411841
  • Address : 4815 W BELLE PLAINE AVE APT 209

Provider taxonomy - Radiologic Technologist

  • Taxonomy code: 2471S1302X
  • License number: 117674

The taxonomy is not the primary taxonomy.

Healthcare provider taxonomy #2 - Nurse Practitioner

  • Taxonomy code: 363LF0000X
  • License number: 7668
  • License state: WI

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Contacts:

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  • ELIZABETH OSTOJA MSN, FNP
  • Address : 4815 W BELLE PLAINE AVE APT 209
  • Region : CHICAGO, IL
  • NPI : 1003006099
  • Phone : 7737361762
  • Postalcode : 606411841

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address4815 W BELLE PLAINE AVE APT 209
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameCHICAGO
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameIL
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code606411841
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number7737361762
The telephone number associated with the location address of the provider being identified.
NPI1003006099
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 12471S1302X
Provider Enumeration Date07/26/2007
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated01/14/2018
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)ELIZABETH OSTOJA
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address1002 CLAIREMONT
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameEAU CLAIRE
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameWI
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code547011841
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number7158584500
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #12471S1302X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Radiologic Technologist
Provider License Number 1117674
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Healthcare Provider Primary Taxonomy Switch 1N
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Healthcare Provider Taxonomy Code 2363LF0000X
Healthcare Provider Taxonomy 2Nurse Practitioner
Provider License Number 27668
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 2WI
Healthcare Provider Primary Taxonomy Switch 2Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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