Search › Illinois › 2255A2300X
Tarah Ellington, MED, ATC, CSCS,
NPI 1962781377 · on the registry since 2011
Practice
- Address
- 5700 College Rd
Lisle, IL 60532 - Phone
- (630) 829-6154
- Fax
- (630) 829-6169
- Organisation at this address
- Benedictine University
Benedictine University
Holistically Divine Counseling, LtdInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-08-16
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