Individual
ELLEN MAXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
HINES VETERANS ADMINISTRATION, HINES, IL 60141-9910
(708) 202-7090
Mailing address
18W092 16TH ST, VILLA PARK, IL 60181-3849
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
IL
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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