Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Amanda Marie Ellison

Individual provider Pharmacist · NPI 1942800313

Dr. Amanda Marie Ellison is a Pharmacist in Olympia Fields, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
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Practice location Address checks out

21000 Western Ave
Olympia Fields, IL 60461-1935
Phone: (708) 898-9114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051.299127 (IL)

Record details

NPI number1942800313
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 27, 2020
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020
Mailing address9114 Carlisle Ln, Orland Park, IL 60462-3377

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