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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DE'JUAN ELLSWORTH

Active

DE'JUAN ELLSWORTH is a Case Manager healthcare provider located in CHICAGO, Illinois. NPI 1467821587 is currently active in the NPPES registry. Verify at CMS.

Case Manager · CHICAGO, IL

Registration Details

NPI Number
1467821587
Provider Type
Individual
Gender
Male
NPI Issued
Sep 18, 2015 (10.934885802496 yrs)
Last Updated
May 11, 2018
License
362170821 (IL)

Practice Information

Address
2310 W ROOSEVELT RD
CHICAGO, IL, 606081131
Browse IL providers · Browse ZIP 60608
Phone
3125664500
Primary Specialty
Case Manager
171M00000X
Additional Specialty
Counselor
Additional Specialty
Case Manager

Other Case Manager Providers in CHICAGO, IL

Name Credential NPI
DEBRA BUFFETT 1023130523
LEVI SINGZON ALIPOSA 1861646945
MS. PATRICIA CLOTHILDE WILLIAMS 1780817932
PATRICIA DELAWARE 1801106091
MR. ANTONIO J LEMA JOFRE QMHP 1477835460
ELIZABETH TELICHOWSKI MHP 1225310055
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.