EMILY ELIZABETH INGRAM NPI 1356078992

NPI Information

  • NPI: 1356078992
  • Provider Name: EMILY ELIZABETH INGRAM
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 836 W WELLINGTON AVE
    CHICAGO, IL
    ZIP 60657
  • Phone: (773) 296-8977

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NPI Details

Emily Elizabeth Ingram is a psychiatric/mental health nurse practitioner in Chicago, IL with 3 years of experience. Emily Elizabeth Ingram NPI is 1356078992. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year:2022

The provider's business location address is:

836 W WELLINGTON AVE
CHICAGO, IL
ZIP 60657-147
Phone: (773) 296-8977
Fax: (773) 296-8978

The NPI 1356078992 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/3/2022 and was last updated on 6/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental Health041426477ILLINOISNo
2363L00000XNurse Practitioner209-026223ILLINOISNo
3363LP0808XNurse PractitionerPsychiatric/Mental Health209-026223ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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