Organization
ELLACRIT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STELLA ADESOPE (SOLE MEMBER OWNER)
(773) 822-1493
Entity
Organization
Contact information
Practice address
1802 MULLIKIN DR, CHAMPAIGN, IL 61822-8304
(773) 822-1493
Mailing address
1802 MULLIKIN DR, CHAMPAIGN, IL 61822-8304
(773) 822-1493
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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