Most Relevant Information
Provider Data
| NPI Number: | 1003352196 |
| Provider Name: | DEBORA ELLIS APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 277.000609 |
Most Important Dates
| Enumeration Date: | 01/12/2017 |
| Last Updated: | 07/08/2022 |
Provider Practice Location
201 E OGDEN AVE STE 118
HINSDALE
IL
605213776
Practice Location Phone/Fax
| Phone: | 6302707717 |
| Fax: | 7798033119 |
Provider Mailing Location
2081 CALISTOGA DR STE 2S
NEW LENOX
IL
604514833
Provider Mailing Phone/Fax
| Phone: | 8154186070 |
| Fax: | 7089235018 |