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Individual

MADELINE ELLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, AG-ACNP-BC

Contact information

Practice address
1000 N WESTMORELAND RD # LEVEL1, LAKE FOREST, IL 60045-1658
(312) 695-1800
(847) 535-7151
Mailing address
1000 N WESTMORELAND RD # LEVEL1, LAKE FOREST, IL 60045-1658
(312) 695-1800
(847) 535-7151

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209030895
IL
363LA2100X
Acute Care Nurse Practitioner
209030895
IL

Other

Enumeration date
09/17/2024
Last updated
01/16/2025
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