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1306850151
JAMES POWELL ELLIS
NORTH CHICAGO, IL
NPI
1306850151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WI 881023)
Enumeration Date
2006-07-28
Last Update Date
2007-07-08
Business Address
Mr. JAMES POWELL ELLIS PA
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064-3048
Phone number: 847-688-1900
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Mailing Address
Mr. JAMES POWELL ELLIS PA
10445 W WALDO AVE
BEACH PARK, IL 60099-3668
Phone number: 847-872-0427
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