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Individual
KATHERINE ELLINGSON
Active
Individual
KATHERINE ELLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209.019388
IL
Other
Enumeration date
05/04/2019
Last updated
05/04/2019
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