Individual
BONNIE LEONE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1900 E MAIN, VA ILLIANA HEALTH CARE SYSTEM, DANVILLE, IL 61832
(217) 554-3163
Mailing address
2414 ST ANDREWS RD, URBANA, IL 61802-6924
(217) 344-0759
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149002851
IL
Other
Enumeration date
08/08/2006
Last updated
04/12/2026
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