Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
1240 BAMBURG CT
HANOVER PARK, IL 60133-5243 US

Mr. Kermit J Ellison

Mental Health Counselor


Mr. Kermit J Ellison

Overview

Mr. Kermit J Ellison is a Mental Health Counselor in the HANOVER PARK area. Mr. Kermit J Ellison primary office location is at 1240 BAMBURG CT and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1013354463 and the information was updated approximately 7 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: YES

Participates in PECOS: NO

Contact Information

Primary Practice Location Information
1240 BAMBURG CT
HANOVER PARK, IL 60133-5243 US
Phone: (630)-372-6599
Fax:
Practice Mailing Information
1240 BAMBURG CT
HANOVER PARK, IL 60133-5243 US
Phone: (630)-372-6599
Fax: (630)-372-6697
License NumberState
180006226IL
2482622IL

No Identifiers found

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