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1245639772
NATHAN ELLIS
WESTCHESTER, IL
NPI
1245639772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-08-20
Last Update Date
2014-08-20
Business Address
-- NATHAN ELLIS
9845 W ROOSEVELT RD
WESTCHESTER, IL 60154-2758
Phone number: 708-681-2325
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Mailing Address
-- NATHAN ELLIS
1820 S 25TH AVE
BROADVIEW, IL 60155-2864
Phone number:
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