Ellen Listing

NPI #1649593807 in South Beloit, Illinois

Provider Information

NPI Number
1649593807
Entity Type
Organization
Organization Name
Ellen Listing
Primary Specialty
Nursing Care
Enumeration Date
Mar 2, 2010
Last Updated
Mar 2, 2010

Practice Location

Address
14094 KENNEDY DR
ZIP Code
61080-2502
Phone
(815) 601-4055

Authorized Official

Name
ELLEN LISTING
Title
RN
Phone
(815) 601-4055

Specialties & Taxonomy Codes

Specialty
Nursing Care

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