KHALIAH YVONNE ELLISTON

EVANSTON, IL
NPI1942740881
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.004400)
Enumeration Date2017-02-25
Last Update Date2017-02-25
Business Address
-- KHALIAH YVONNE ELLISTON
1629 CHICAGO AVE
EVANSTON, IL 60201-4504
Phone number: 773-297-1023
Mailing Address
-- KHALIAH YVONNE ELLISTON
6111 S DREXEL AVE
CHICAGO, IL 60637-2627
Phone number: 773-297-1023
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