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Individual

MS. JILL ERIN ELLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1001 E PELLS ST, PAXTON, IL 60957-1300
(217) 379-4361
Mailing address
1407 LINCOLNWOOD DR, URBANA, IL 61802-5558
(217) 369-7618

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
057002382
IL

Other

Enumeration date
05/01/2008
Last updated
05/01/2008
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