Individual
AMY BETH ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
100 WEST LINCOLN HWY, DEKALB, IL 60115
(815) 756-1815
(815) 748-5527
Mailing address
672 FOX HOLLOW, DEKALB, IL 60115
(815) 756-4654
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051041053
IL
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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