Individual
MRS. PATRICIA H. ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
10 S MAPLE ST, FRANKFORT, IL 60423-1412
(815) 469-5950
Mailing address
10 S MAPLE ST, FRANKFORT, IL 60423-1412
(815) 469-5950
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
PE22520998P
IL
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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