JULIETTE RACHEL ELLIS (NPI# 1780879908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780879908 |
Entity Type | Individual |
Full Name | JULIETTE RACHEL ELLIS |
Credential | P.T. |
Practice Address |
433 Oakdale Ave Glencoe IL 60022-2112 |
Practice Telephone | 8476025016 |
Mailing Telephone | 8476025016 |
Enumeration Date | 2007-09-11 |
Last Update Date | 2015-09-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225100000X | Physical Therapist | 070008366 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
070008366 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
433 OAKDALE AVE |
City | GLENCOE |
State | IL |
Zip Code | 60022-2112 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528406188 | Lauren J Schneider | Chiropractor | 378 Park Avenue, Suite 1d, Glencoe, IL 60022 | 2013-06-05 |
1356689897 | Christopher L. Johnston | Counselor | 706 Green Bay Road, Suite 3, Glencoe, IL 60022 | 2013-01-17 |
1447533039 | Inna Serman | Pharmacist | 63 N Greenbay Rd, Glenco, IL 60022 | 2011-09-21 |
1023263084 | Jacqueline Kessler-santiccioli | Speech-Language Pathologist | 725 Apple Tree Lane, Glencoe, IL 60022 | 2008-11-18 |
1639385628 | Michael P Bobrow | Dentist | 630 Vernon Ave, Suite C Lakeshore Dental Inc, Glencoe, IL 60022 | 2007-05-15 |
1073738423 | Meg Racenstein | Clinical Neuropsychologist | 630 N. Vernon Ave., Suite G, Glencoe, IL 60022 | 2007-04-13 |
1073650479 | Jerome Meyer Grunes | Psychiatry & Neurology | 110 Dell Place, Glencoe, IL 60022 | 2007-02-01 |
1457428740 | Anne Rousseau Douglas | Marriage & Family Therapist | 190 Maple Hill Road, Glencoe, IL 60022 | 2006-11-29 |
1194891952 | Shona Angle | Social Worker | 755 Greenwood Avenue, Glencoe, IL 60022 | 2006-11-25 |
1407932379 | Brooke Kayman Fox | Social Worker | 850 North Milwaukee Avenue, Suite 209, Vernon Hills, IL 60022 | 2006-10-31 |
Find all providers in zip 60022 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841750411 | Crawl Walk Leap P.C. | Physical Therapist | 720 W Randolph St Apt 1103, Chicago, IL 60661-2171 | 2019-03-21 |
1912478777 | Elaine Rodriguez | Physical Therapist | 3332 N Kostner Ave, Chicago, IL 60641-4513 | 2018-12-05 |
1437625001 | Jennifer K. Buccelli, Mpt | Physical Therapist | 597 Plymouth Ct, Gurnee, IL 60031-3229 | 2018-10-22 |
1124511159 | Molly Victorine | Physical Therapist | 1375 Newcastle Ln, Hoffman Estates, IL 60169-1225 | 2018-06-13 |
1750896163 | Julie Ann Brady | Physical Therapist | 430 Nevada St, Frankfort, IL 60423-1565 | 2017-12-07 |
1467965939 | Carla Gain | Physical Therapist | 118 Westhaven School Rd, Belleville, IL 62220-3264 | 2017-11-07 |
1538678354 | Anita Tallegien Daneshdoost | Physical Therapist | 1725 Shomaker Drive, Murphysboro, IL 62966 | 2017-09-25 |
1861917189 | Marisa Raineri | Physical Therapist | 750 Pasquinelli Dr., #204, Westmont, IL 60559 | 2017-08-08 |
1669915674 | Anna's Pediatric Physical Therapy LLC | Physical Therapist | 2120 W Armitage Ave, Unit 1, Chicago, IL 60647-4516 | 2016-11-22 |
1417409970 | Katherine Wolff | Physical Therapist | 12 N Kenilworth Ave, Mount Prospect, IL 60056-2232 | 2016-11-01 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on JULIETTE RACHEL ELLIS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.