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

Mr. Kermit J Ellison

Individual provider Mental Health Counselor · NPI 1013354463

Mr. Kermit J Ellison is a Mental Health Counselor in Hanover Park, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2013
Specialties on file
2

Practice location Address checks out

1240 Bamburg Ct
Hanover Park, IL 60133-5243
Phone: (630) 372-6599
Fax: (630) 372-6697
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 180006226 (IL)
School Counselor Taxonomy 101YS0200X · Licence 2482622 (IL)

Record details

NPI number1013354463
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 24, 2013
Last updated in NPPESMay 24, 2013

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