Individual
MRS. JANA S. ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
345 E SUPERIOR ST, CHICAGO, IL 60611-2654
(312) 238-1000
Mailing address
867 BRIGANTINE DR, NEW LENOX, IL 60451-9221
(815) 462-4171
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.005722
IL
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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