Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

De'Juan Ellsworth

Individual provider Counselor · NPI 1467821587

De'Juan Ellsworth is a Counselor in Chicago, Illinois. Licensed in Illinois and Louisiana. Registered with an NPI since 2015.

Licensed in
IL, LA
In the registry since
2015
Specialties on file
3

Practice location Address checks out

2310 W Roosevelt Rd
Chicago, IL 60608-1131
Phone: (312) 566-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (LA)
Counselor Taxonomy 101Y00000X (LA)
Counselor Taxonomy 101Y00000X · Licence 362170821 (IL)

Record details

NPI number1467821587
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 18, 2015
Last updated in NPPESMay 11, 2018

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