Ellis, Terence B

Ellis, Terence B is an sole proprietor health care provider with primary practice located at 10537 S Ewing Ave Lower Level, Chicago IL 60617-6220. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist Cardiovascular, which is considered as his primary health care specialty. Ellis, Terence B can be contacted via phone (312) 212-4570.

Contact Information

Primary practice address
10537 S Ewing Ave Lower Level Chicago IL 60617-6220
Phone: (312) 212-4570
Fax: (773) 734-0407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist Cardiovascular 246X00000X

Profile Details

NPI number 1679768675
LBN Legal business name Ellis, Terence B
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2007
Last updated Sep 12th, 2007 - about 18 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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