SearchIllinois235Z00000X

Mary Ellis, MA-CCC/SLP

NPI 1821297300 · on the registry since 2007 · sole proprietor

Practice

Address
2810 45th St
Rock Island, IL 61201
Phone
(309) 737-6304

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Also registered as
235Z00000X
235Z00000X
Licence states on file
IA, CA, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-13

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