Individual
MRS. LORI LYNN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1979 MCDOWELL ROAD, SUITE 103, NAPERVILLE, IL 60563
(331) 229-3975
(331) 814-3964
Mailing address
1979 MCDOWELL ROAD, SUITE 103, NAPERVILLE, IL 60563
(331) 229-3975
(331) 814-3964
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209015226
IL
363L00000X
Nurse Practitioner
Primary
277001566
IL
Other
Enumeration date
12/18/2016
Last updated
04/10/2026
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