NPI 1003352196

Debora Ellis, APRN

Practitioner Psychiatric/Mental Health Nurse Practitioner Hinsdale, IL

Practice location

Address: 201 E Ogden Ave STE 118, Hinsdale, IL 60521-3776
Phone: (630) 270-7717
Fax: (779) 803-3119
Mailing address: 2081 Calistoga Dr STE 2s, New Lenox, IL 60451-4833

Registered specialties

Psychiatric/Mental Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 277.000609 (IL)

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Registry record

NPI: 1003352196
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jan 2017
Record last updated: 8 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.