| NPI | 1417556283 |
|---|---|
| Doing Business As | ELLIS THERAPY |
| Entity Type | Organization |
| Authorized Contact | DAVID SCHAEFER Director 773-350-6560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |