ANTONIO CLARENCE ELLZEY

MOKENA, IL
NPI1174909451
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  EIN-27-4113346)
Enumeration Date2015-08-10
Last Update Date2015-10-28
Business Address
Mr. ANTONIO CLARENCE ELLZEY NCC, LCPC
9435 BORMET DR STE 5
MOKENA, IL 60448-7401
Phone number: 708-995-7226
Mailing Address
Mr. ANTONIO CLARENCE ELLZEY NCC, LCPC
9119S EXCHANGE AVE
CHICAGO, IL 60617-4225
Phone number: 773-768-5000
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