Search › Illinois › 101YP2500X
Thelma Carpenter-Ellis, L.C.P.C
NPI 1053527093 · on the registry since 2007 · sole proprietor
Practice
- Address
- 16116 Inverrary Ln
Bloomington, IL 61704 - Phone
- (309) 662-5816
- Organisation at this address
- Ellis Therapeutic Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois