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Search › Illinois › 101YP2500X

Ellisha Davis

NPI 1306720610 · on the registry since 2025 · sole proprietor

Practice

Address
900 Royal Heights Rd
Belleville, IL 62226
Phone
(618) 394-5900
Organisation at this address
Vintage Support Group, Inc.
Support Systems And Services
Christian Social Services Of Illinois
Inferred from a shared address, not stated in the registry.
Clinicians at this address
30

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
2025-08-01

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