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MRS. JENNIFER R ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
5230 OLD ORCHARD RD, SKOKIE, IL 60077-1034
(800) 807-8787
(847) 492-3045
Mailing address
PO BOX 4543, CAROL STREAM, IL 60197-4543
(847) 492-3040
(847) 492-3045

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085001438
IL

Other

Enumeration date
02/05/2007
Last updated
06/29/2016
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