Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHANI ELLIS
Active Sole ProprietorSTEPHANI ELLIS is a Early Intervention Provider Agency healthcare provider located in BELVIDERE, Illinois. NPI 1164777124 is currently active in the NPPES registry. Verify at CMS.
Early Intervention Provider Agency · BELVIDERE, IL
Registration Details
- NPI Number
- 1164777124
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 16, 2012 (14.088485196493 yrs)
- Last Updated
- Jul 16, 2012
- License
-
471661 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
907 BANCROFT PLBELVIDERE, IL, 610085040Browse IL providers · Browse ZIP 61008
- Phone
- 6303082389
- Fax
- 8155445581
- Primary Specialty
-
Early Intervention Provider Agency
252Y00000X
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.