Ellis, Stacy

Ellis, Stacy is an individual health care provider with primary practice located at 1900 Ogden Ave Ste 106 , Aurora IL 60504-4284. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ellis, Stacy can be contacted via phone (630) 405-7265.

Contact Information

Primary practice address
1900 Ogden Ave Ste 106 Aurora IL 60504-4284
Phone: (630) 405-7265
Fax: (630) 256-8009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071.010228 Illinois

Profile Details

NPI number 1912184326
LBN Legal business name Ellis, Stacy
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2008
Last updated Mar 9th, 2020 - about 5 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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