MRS. DEBORA ELLIS


Address: 12251 S 80th Ave, Palos Heights, IL 60463-1256
Phone: 7089237878

MRS. DEBORA ELLIS (NPI# 1003352196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003352196
Entity Type Individual
Full Name MRS. DEBORA ELLIS
Credential APRN
Practice Address 12251 S 80th Ave
Palos Heights
IL 60463-1256
Mailing Address 12251 S 80th Ave
Suite 1630
Palos Heights
IL 60463-1256
Practice Telephone 7089237878
Practice Fax Number 7089237888
Mailing Telephone 7089235173
Mailing Fax Number 7089235018
Enumeration Date 2017-01-12
Last Update Date 2020-05-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
277.000609 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 12251 S 80TH AVE
City PALOS HEIGHTS
State IL
Zip Code 60463-1256

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457359465 Kurt J Wagner Emergency Medicine 12251 S 80th Ave, Palos Heights, IL 60463-1256 2005-07-13
1558972364 Anu J Stephen Nurse Practitioner 12251 S 80th Ave, Palos Heights, IL 60463-1256 2020-08-14
1730799651 Ruby Noemi Meyer Nurse Practitioner 12251 S 80th Ave, Palos Heights, IL 60463-1256 2020-08-05
1306489711 Allison Marie Reid Nurse Practitioner 12251 S 80th Ave, Palos Heights, IL 60463-1256 2019-10-18
1548829450 Christina Gavoni Nurse Practitioner 12251 S 80th Ave, Palos Heights, IL 60463-1256 2019-06-13
1033775945 Valerie R Giannini Nurse Practitioner 12251 S 80th Ave, Palos Heights, IL 60463-1256 2019-05-15
1073074894 Jessica Marie Kubicki Nurse Practitioner 12251 S 80th Ave, Palos Heights, IL 60463-1256 2019-03-26
1205393014 Ruthie Celestine Gavin Registered Nurse 12251 S 80th Ave, Palos Heights, IL 60463 2019-02-28
1609332188 Maria Veronica Tarala Nurse Practitioner 12251 S 80th Ave, Palos Heights, IL 60463-1256 2019-02-20
1578029013 Michelle Katherine Panek Nurse Practitioner 12251 S 80th Ave, Palos Heights, IL 60463-0930 2019-02-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932756095 Kim Rusiecki Technician 25 Parliament Drive East, Palos Heights, IL 60463 2019-08-23
1265925218 Sentinel Anesthesia of Illinois, PC Anesthesiology 7340 W College Dr Fl 1, Palos Heights, IL 60463 2018-06-13
1225410848 Deborah Ann Castaneda Skilled Nursing Facility 12350 Natchez Ave., Palos Heights, IL 60463 2015-06-19
1609253160 Tareq Ayyad Physical Therapy Assistant 11730 Lighthouse Ln, Palos Heights, IL 60463 2015-05-04
1366846503 Ryan Teahen Dentist 7600 W College Dr Ste 17, Palos Heights, IL 60463 2014-10-17
1295140309 Paul Park Ophthalmology 7600 W College Dr Ste 9, Palos Heights, IL 60463 2014-06-26
1275976045 Nazim A. Khan Physician Assistant 6450 West College Drive, Palos Heights, IL 60463 2013-04-11
1619246824 Amanda M Ejka Psychologist 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 2011-12-16
1578832937 Sandi Maheras Pharmacist 1703 Spyglass Cir, Palos Heights, IL 60463 2011-12-14
1043597065 Ashraf Olwan Pharmacist 7660 W Sequoia Rd, Palos Heights, IL 60463 2011-11-04
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699387910 Wilma Montilla-rener Nurse Practitioner 12255 S 80th Ave, Palos Heights, IL 60463-1270 2020-08-18
1780048058 Debora Delre Nurse Practitioner 12255 S 80th Ave, Suite 202, Palos Heights, IL 60463-1258 2016-04-12
1548532591 Darlene C Flowers Nurse Practitioner 12255 S 80th Ave, Palos Heights, IL 60463-1270 2012-02-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790384451 Ghea Tiping Degillo Nurse Practitioner 4711 Golf Rd Ste 500, Skokie, IL 60076-1208 2020-10-22
1750989620 Rodney J Pena Jr. Nurse Practitioner 1362 Trotters Ln, Bourbonnais, IL 60914-4519 2020-10-13
1609482231 Crystal Lynn Jordan Nurse Practitioner 638 Oakbrook Ave, Chatham, IL 62629 2020-09-18
1497369672 Mojisola Abayemi Akinfe Nurse Practitioner 8572 Stone Creek Blvd, Frankfort, IL 60423-9338 2020-09-03
1508475039 Hilary Eichie Nurse Practitioner 20025 Division St., Crest Hill, IL 60403 2020-07-30
1518585942 Tabs Behavioral Health Inc Nurse Practitioner 13316 Vicarage Dr, Plainfield, IL 60585-5050 2020-07-13
1154946788 Latisha Trenice Stennis Nurse Practitioner 8106 Carol Dr, East Saint Louis, IL 62203-1838 2020-06-09
1114549755 Maria Andreea Bordeianu Nurse Practitioner 6050 N California Ave, Chicago, IL 60659-3916 2020-05-16
1104448968 Abosede Rachel Babalola Nurse Practitioner 2214 Monarch St, Bourbonnais, IL 60914-2780 2020-05-14
1659909406 Mudira Temilola Oyewole Nurse Practitioner 493 Leslie Ct, Des Plaines, IL 60016-8818 2020-03-28
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Competitor

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City PALOS HEIGHTS
Zip Code 60463

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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