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Nathan Ellis

NPI 1184549602 · on the registry since 2026 · sole proprietor

Practice

Address
14 Lakeland Dr
Shattuc, IL 62231
Phone
(618) 302-3223

Registry record

Primary taxonomy
363A00000X
363A00000X
Sex
Male
Record last updated
2026-08-12

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