Individual
LATISHA ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4910 N SPAULDING AVE APT 3W, CHICAGO, IL 60625-5051
(724) 496-9045
Mailing address
4910 N SPAULDING AVE APT 3W, CHICAGO, IL 60625-5051
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
100826
IL
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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