Ellis Therapy & Fitness

Organization Clinical Social Worker · NPI 1548674203

Ellis Therapy & Fitness provides Clinical Social Worker services in Prairie View, Illinois. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in: IL
In the registry since: 2014

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Practice location Address checks out

16595 W Easton Ave
Prairie View, IL 60069-2744 Not confirmed with CMS for 12 years — call before visiting
Phone: (847) 242-1669
Fax: (815) 524-2271

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary)	Taxonomy 1041C0700X · Licence 149013439 (IL)

Record details

NPI number	1548674203
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Debra Ellis — Licensed Clinical Social Worker · (847) 242-1669
Other names	Debra Ellis Therapy Services
NPI enumerated	June 19, 2014
Last updated in NPPES	June 19, 2014
Mailing address	16595 W Easton Ave, Prairie View, IL 60069-2744