Christine M Ellis

NPI 1548584386 - Dental Hygienist - 124Q00000X

NPI Details
NPI 1548584386
Gender Female
Enumeration Date 03/23/2010
Last Updated 03/23/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
6800 MAIN ST
DOWNERS GROVE IL, 60516-3493, US
Phone (630) 994-5416
Fax
Business Location
8901 W 163RD ST
ORLAND PARK IL, 60462-5655, US
Phone (708) 217-9784
Fax
Toxanomy
Taxonomy Code 124Q00000X
License State Illinois
License Number 020009840
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According to our database, Christine M Ellis NPI is 1548584386, taxonomy code is 124Q00000X and license number is 020009840, license state is located at Illinois. Christine M Ellis physically located at 6800 Main St, Downers Grove IL, 60516-3493. NPI Number Christine M Ellis has the Individual type.

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1548584386 NPI number is provided on an as is basis without warranty of any kind. 1548584386 is maintained by the National Plan & Provider Enumeration System. The contents of Christine M Ellis are for informational purposes only.