Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MADELINE ELLIS, DNP, AG-ACNP-BC
Active Sole ProprietorMADELINE ELLIS, DNP, AG-ACNP-BC is a Nurse Practitioner healthcare provider located in LAKE FOREST, Illinois. NPI 1104653997 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · LAKE FOREST, IL
Registration Details
- NPI Number
- 1104653997
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 17, 2024 (1.9077408562706 yrs)
- Last Updated
- Jan 16, 2025
- Licenses
-
209030895 (IL)209030895 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1000 N WESTMORELAND RD # LEVEL1LAKE FOREST, IL, 600451658Browse IL providers · Browse ZIP 60045
- Phone
- 3126951800
- Fax
- 8475357151
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in LAKE FOREST, IL
| Name | Credential | NPI |
|---|---|---|
| JEANINE HARSHBARGER | FNP | 1871583179 |
| NANCY M DOHERTY | NP | 1306815006 |
| JENNIFER NICOLE JACKSON | ACNP | 1629285457 |
| MELISSA A KREITER | RN, APRN | 1992013791 |
| SHERYL GIESE | APRN, CNP | 1801165436 |
| KELLY KATHLEEN FORSTER IVY | CNM, WHNP-BC | 1649514316 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.