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1255470431
JENNIFER R ELLIS
SKOKIE, IL
NPI
1255470431
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IL 085001438)
Enumeration Date
2007-02-05
Last Update Date
2016-06-29
Business Address
Mrs. JENNIFER R ELLIS PA
5230 OLD ORCHARD RD
SKOKIE, IL 60077-1034
Phone number: 800-807-8787
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Mailing Address
Mrs. JENNIFER R ELLIS PA
PO BOX 4543
CAROL STREAM, IL 60197-4543
Phone number: 847-492-3040
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