SearchIllinois252Y00000X

Lisa Ellis

NPI 1487892485 · on the registry since 2009 · sole proprietor

Practice

Address
309 S Fair St
Champaign, IL 61821
Phone
(217) 377-9348

Registry record

Primary taxonomy
252Y00000X
252Y00000X
Sex
Female
Record last updated
2014-04-24

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