MR. Kermit J Ellison

  • NPI 1013354463
According to our database, the NPI number for MR. Kermit J Ellison is 1013354463 and activated since 10 years ago. MR. Kermit J Ellison is an individual provider who specializes in Mental Health, and the primary practice location is 1240 Bamburg Ct, Hanover Park, IL 60133. You can also contact MR. Kermit J Ellison via telephone number is (630) 372-6599. Provider NPI information was last updated on 05/24/2013.

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Overview of MR. Kermit J Ellison

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/24/2013
  • Last updated: 05/24/2013

Primary Scrop of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: 180006226
  • License State: IL

Provider Mailing Address

  • Address: 1240 Bamburg Ct
    Hanover Park, IL 60133
  • Phone: 630-372-6599
  • Fax: 630-372-6697

Provider Practice Location

  • Address: 1240 Bamburg Ct
    Hanover Park, IL 60133
  • Phone: 630-372-6599
  • Fax: 630-372-6697

Scope of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: 180006226
  • License State: IL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Kermit J Ellison?
  • A: The npi number for MR. Kermit J Ellison is 1013354463.
  • Q: What are MR. Kermit J Ellison's specialties?
  • A: MR. Kermit J Ellison's specialties are Mental Health and different specialities.
  • Q: What is the medical license for MR. Kermit J Ellison?
  • A: The medical license number for MR. Kermit J Ellison is 180006226 and issued in IL in USA.
  • Q: Where is MR. Kermit J Ellison practice location?
  • A: MR. Kermit J Ellison is practicing at 1240 Bamburg Ct, Hanover Park, IL 60133.
  • Q: How to contact MR. Kermit J Ellison?
  • A: You can contact MR. Kermit J Ellison via 630-372-6599.
Medicare Specialty
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