STEPHANI ELLIS

BELVIDERE, IL
NPI1164777124
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
(Licence: IL  471661)
Enumeration Date2012-07-16
Last Update Date2012-07-16
Business Address
-- STEPHANI ELLIS
907 BANCROFT PL
BELVIDERE, IL 61008-5040
Phone number: 630-308-2389
Mailing Address
-- STEPHANI ELLIS
907 BANCROFT PL
BELVIDERE, IL 61008-5040
Phone number: 630-308-2389