Ellis, Donna

Ellis, Donna is an sole proprietor health care provider with primary practice located at 5841 S Maryland Ave , Chicago IL 60637-1447. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Ellis, Donna can be contacted via phone (844) 755-8267.

Contact Information

Primary practice address
5841 S Maryland Ave Chicago IL 60637-1447
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 209004779 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 209004779 Illinois

Profile Details

NPI number 1922331578
LBN Legal business name Ellis, Donna
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2009
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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