JORDAN MICHAEL ELLIS

DANVILLE, IL
NPI1902398068
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019031635)
Enumeration Date2018-06-05
Last Update Date2020-07-13
Business Address
Dr. JORDAN MICHAEL ELLIS DMD
1900 EAST MAIN ST
DANVILLE, IL 61832-6183
Phone number: 217-554-3000
Mailing Address
Dr. JORDAN MICHAEL ELLIS DMD
1118 DOUGLAS ST
ALTON, IL 62002-2219
Phone number: 217-799-9533
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