Search › Illinois › 314000000X
Chris Ellis, PTA
NPI 1942667753 · on the registry since 2016 · sole proprietor
Practice
- Address
- 16849 Mallard Ln
Lockport, IL 60441 - Phone
- (708) 476-0350
Registry record
- Primary taxonomy
- 314000000X
314000000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-01-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois