SHANEISE ELLIS

INDIANAPOLIS, IN
NPI1922758267
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IN  01096953A)
Additional Taxonomies208000000X Pediatrics
(Licence: IL  125.079309)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-03-28
Last Update Date2025-06-17
Business Address
SHANEISE ELLIS MD, MBA
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202-5109
Phone number: 317-948-2700
Mailing Address
SHANEISE ELLIS MD, MBA
PO BOX 778912
CHICAGO, IL 60677-8912
Phone number: 317-777-6435