Ellis-Pelletier, Amanda Dawn

Ellis-Pelletier, Amanda Dawn is an sole proprietor health care provider with primary practice located at 1675 W Dempster St , Park Ridge IL 60068-1110. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Ellis-Pelletier, Amanda Dawn can be contacted via phone (847) 723-5313.

Contact Information

Primary practice address
1675 W Dempster St Park Ridge IL 60068-1110
Phone: (847) 723-5313
Fax: (847) 723-2325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 036-120880 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036120880 Illinois

Profile Details

NPI number 1639325129
LBN Legal business name Ellis-Pelletier, Amanda Dawn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2008
Last updated Jun 27th, 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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