Individual
JENNIFER ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP/L
Contact information
Practice address
2206 W 167TH ST, MARKHAM, IL 60428-5607
(708) 597-4250
Mailing address
565 W QUINCY ST UNIT 1003, CHICAGO, IL 60661-2906
(708) 828-4639
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.012292
IL
Other
Enumeration date
03/18/2019
Last updated
11/27/2023
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