Individual
MS. JAMIE ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
501A S TOWANDA BARNES RD STE 2, BLOOMINGTON, IL 61705-4031
(217) 379-4864
Mailing address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(217) 784-4251
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146008388
IL
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
03/27/2007
Last updated
02/18/2026
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