Search › Illinois › 106S00000X
Ericka Pennell, RBT 17-37783
NPI 1598255523 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1065 Darwin Dr
Machesney Park, IL 61115 - Phone
- (815) 713-8520
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-05-15
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