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Stephani Ellis
NPI 1164777124 · on the registry since 2012 · sole proprietor
Practice
- Address
- 907 Bancroft Pl
Belvidere, IL 61008 - Phone
- (630) 308-2389
- Fax
- (815) 544-5581
Registry record
- Primary taxonomy
- 252Y00000X
252Y00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-07-16
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