TERENCE B ELLIS

CHICAGO, IL
NPI1679768675
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246X00000X Spec/Tech, Cardiovascular
Enumeration Date2007-09-12
Last Update Date2007-09-12
Business Address
-- TERENCE B ELLIS
10537 S EWING AVE LOWER LEVEL
CHICAGO, IL 60617-6220
Phone number: 312-212-4570
Mailing Address
-- TERENCE B ELLIS
10537 S EWING AVE LOWER LEVEL
CHICAGO, IL 60617-6220
Phone number: 312-212-4570
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