Ellis, Albert

Ellis, Albert is an individual health care provider with primary practice located at 395 West Lincoln Highway , Chicago Heights IL 60411. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Ellis, Albert can be contacted via phone (708) 755-5117.

Contact Information

Primary practice address
395 West Lincoln Highway Chicago Heights IL 60411
Phone: (708) 755-5117
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 17166 Illinois

Profile Details

NPI number 1578945309
LBN Legal business name Ellis, Albert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2015
Last updated Jun 29th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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