Stephani Ellis

NPI #1164777124 in Belvidere, Illinois

Provider Information

NPI Number
1164777124
Entity Type
Individual
Name
Stephani Ellis
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Jul 16, 2012
Last Updated
Jul 16, 2012

Practice Location

Address
907 BANCROFT PL
ZIP Code
61008-5040
Phone
(630) 308-2389

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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