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

Mr. Kermit J Ellison

Individual provider Mental Health Counselor · NPI 1013354463

Mr. Kermit J Ellison is a Mental Health Counselor in Hanover Park, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2013
Specialties on file
2

Practice location Address checks out

1240 Bamburg Ct
Hanover Park, IL 60133-5243
Phone: (630) 372-6599
Fax: (630) 372-6697
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 180006226 (IL)
School Counselor Taxonomy 101YS0200X · Licence 2482622 (IL)

Record details

NPI number1013354463
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 24, 2013
Last updated in NPPESMay 24, 2013
Mailing address1240 Bamburg Ct, Hanover Park, IL 60133-5243

Other providers in Hanover Park