Ellis, Kelly Elizabeth

Ellis, Kelly Elizabeth is an individual health care provider with primary practice located at 6201 Roosevelt Rd , Berwyn IL 60402-1108. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Ellis, Kelly Elizabeth can be contacted via phone (708) 386-0845.

Contact Information

Primary practice address
6201 Roosevelt Rd Berwyn IL 60402-1108
Phone: (708) 386-0845
Fax: (708) 386-8472
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 209008508 Illinois

Profile Details

NPI number 1962705103
LBN Legal business name Ellis, Kelly Elizabeth
Credentials APN, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2010
Last updated Dec 23rd, 2019 - about 6 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.

Request for update

Popular Providers