KELLY ELIZABETH ELLIS

BERWYN, IL
NPI1962705103
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: IL  209008508)
Enumeration Date2010-12-09
Last Update Date2019-12-23
Business Address
Mrs. KELLY ELIZABETH ELLIS APN, CNM
6201 ROOSEVELT RD
BERWYN, IL 60402-1108
Phone number: 708-386-0845
Mailing Address
Mrs. KELLY ELIZABETH ELLIS APN, CNM
6201 ROOSEVELT RD
BERWYN, IL 60402-1108
Phone number: 708-386-0845
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