Elizabeth Portillo, is a
Nurse Practitioner - Psychiatric/mental Health based in Chicago, Illinois. Elizabeth Portillo is licensed to practice in Illinois (license number 209021646) and her current practice location is
2233 W Division St, Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at
(312) 770-2000.
NPI number for Elizabeth Portillo is 1306261615 and her current mailing address is 10127 Westmanor Dr, Franklin Park, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306261615.
Healthcare Provider's Profile
Full Name | Elizabeth Portillo |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 2233 W Division St, Chicago, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306261615
- Provider Enumeration Date: 02/23/2014
- Last Update Date: 09/02/2020
Medical Identifiers
Medical identifiers for Elizabeth Portillo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306261615 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209021646 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elizabeth Portillo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Elizabeth Portillo, 10127 Westmanor Dr, Franklin Park, IL 60131-3130 Ph: () - | Elizabeth Portillo, 2233 W Division St, Chicago, IL 60622-8151 Ph: (312) 770-2000 |
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