Juliette Rachel Ellis in Glencoe - Pediatrics

Juliette Rachel Ellis - NPI 1780879908

Juliette Rachel Ellis is a Pediatrics in Glencoe, Illinois. Juliette Rachel Ellis practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Juliette Rachel Ellis is 1780879908. The last update date is 2015-09-09.

Juliette Rachel Ellis's current location address is 433 Oakdale Ave, Glencoe, Illinois. You can contact this provider via phone number 8476025016. The mailing address for Juliette Rachel Ellis is 433 Oakdale Ave, Glencoe, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Juliette Rachel Ellis
Address 433 Oakdale Ave, Glencoe, Illinois
Phone Number 8476025016
Fax Number
Sole Proprietor Y
Credentials P.T.

NPI Number Detail

NPI Number 1780879908
Provider Enumeration Date 2007-09-11
Last Updated Date 2015-09-09

Provider Mailing Address Detail

Address 433 Oakdale Ave
City Glencoe
State Illinois (IL)
Post Code 600222112
Phone Number 8476025016
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 2251P0200X
Licence No 70008366
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development,

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FAQs about Juliette Rachel Ellis

What is the Juliette Rachel Ellis's 1780879908?

The Juliette Rachel Ellis's NPI (National Provider Identifier) Number is 1780879908. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Juliette Rachel Ellis is geographically located?

The Juliette Rachel Ellis is physically situated at the following location: 433 Oakdale Ave, Glencoe, IL, 600222112.

What is Juliette Rachel Ellis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Juliette Rachel Ellis is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 2251P0200X.

On what date was the 1780879908 assigned to Juliette Rachel Ellis?

The Juliette Rachel Ellis was issued its 1780879908 on 2007-09-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Juliette Rachel Ellis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Juliette Rachel Ellis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-09-09.

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