Search › Illinois › 111N00000X
Tabitha Ellsworth, D.C
NPI 1245532068 · on the registry since 2010 · sole proprietor
Practice
- Address
- 3701 Nameoki Rd
Unit E
Granite City, IL 62040 - Phone
- (618) 451-8830
- Fax
- (866) 912-2457
- Organisation at this address
- Advantage Medical Equipment, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-12-10
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