| Doctor Name: | MRS. ELIZABETH MCINERNEY |
| NPI Number: | 1043674138 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 209014215 |
| Business Practice Address: | 7600 W College Dr Palos Heights, IL - 604631001 |
| Business Phone Number: | 7084482438 |
| Business Fax Number: | |
| Mailing Address: | 1426 W Lexington St, Apt 1 CHICAGO |
| State: | IL |
| Postal Code: | 606074131 |
| Phone Number: | 7089255111 |
| Fax Number: | |
| NPI Enumeration Date: | 04/05/2016 |
| NPI Last Update Date: | 04/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209014215 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |