Ellis, Jennifer R

Ellis, Jennifer R is an individual health care provider with primary practice located at 5230 Old Orchard Rd , Skokie IL 60077-1034. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ellis, Jennifer R can be contacted via phone (800) 807-8787.

Contact Information

Primary practice address
5230 Old Orchard Rd Skokie IL 60077-1034
Phone: (800) 807-8787
Fax: (847) 492-3045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085001438 Illinois

Profile Details

NPI number 1255470431
LBN Legal business name Ellis, Jennifer R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jun 29th, 2016 - about 8 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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