Stephani Ellis
Stephani Ellis is an Early Intervention Provider Agency in Belvidere, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2012
Practice location Address checks out
907 Bancroft PlBelvidere, IL 61008-5040
Phone: (630) 308-2389
Fax: (815) 544-5581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X · Licence 471661 (IL) |
|---|
Record details
| NPI number | 1164777124 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 16, 2012 |
| Last updated in NPPES | July 16, 2012 |
| Mailing address | 907 Bancroft Pl, Belvidere, IL 61008-5040 |