VICKIE EILEEN ELLIS

CHAMPAIGN, IL
NPI1619102456
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: IL  209002125)
Enumeration Date2009-05-22
Last Update Date2012-08-17
Business Address
Mrs. VICKIE EILEEN ELLIS APN/CNP
201 W. KENYON RD
CHAMPAIGN, IL 61820-7892
Phone number: 217-531-5365
Mailing Address
Mrs. VICKIE EILEEN ELLIS APN/CNP
201 W KENYON RD
CHAMPAIGN, IL 61820-7892
Phone number: 217-531-5365
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