Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHRIS ROBERT ELLIS, PTA
Active Sole ProprietorCHRIS ROBERT ELLIS, PTA is a Skilled Nursing Facility healthcare provider located in LOCKPORT, Illinois. NPI 1942667753 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · LOCKPORT, IL
Registration Details
- NPI Number
- 1942667753
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 25, 2016 (10.522924826379 yrs)
- Last Updated
- Jan 25, 2016
- License
-
160.006451 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16849 MALLARD LNLOCKPORT, IL, 604411309Browse IL providers · Browse ZIP 60441
- Phone
- 7084760350
- Primary Specialty
-
Skilled Nursing Facility
314000000X
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.