Individual
ELLEN FLORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3981
(217) 366-1248
Mailing address
4550 NICKLAUS DR APT 306, CHAMPAIGN, IL 61822-1508
(803) 645-2068
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
08/14/2023
Last updated
08/15/2023
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