| Mr Kermit J Ellison, | |
|
1240 Bamburg Ct, Hanover Park, IL 60133-5243 | |
| (630) 372-6599 | |
| (630) 372-6697 |
| Full Name | Mr Kermit J Ellison |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1240 Bamburg Ct, Hanover Park, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013354463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180006226 (Illinois) | Primary |
| 101YS0200X | Counselor - School | 2482622 (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kermit J Ellison, 1240 Bamburg Ct, Hanover Park, IL 60133-5243 Ph: (630) 372-6599 | Mr Kermit J Ellison, 1240 Bamburg Ct, Hanover Park, IL 60133-5243 Ph: (630) 372-6599 |
Dr. Agnes De Las Mercedes Salichs, ED.D Counselor Medicare: Not Enrolled in Medicare Practice Location: 1804 Irving Park Rd Ste A, Hanover Park, IL 60133 Phone: 773-965-1220 Fax: 630-839-9024 | |
Mr. Michael Jan Holland, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1240 Bamburg Ct, Hanover Park, IL 60133 Phone: 630-372-6599 Fax: 630-372-6697 | |
Latrenda Carlette Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2035 Cherry Ave, Hanover Park, IL 60133 Phone: 847-893-6663 | |
Ms. Phyllis K. Siebert, LCPC, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1240 Bamburg Ct, Hanover Park, IL 60133 Phone: 630-372-6599 Fax: 630-372-6697 | |
Mrs. Stephanie Lynn Britton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1240 Bamburg Ct, Hanover Park, IL 60133 Phone: 630-372-6599 Fax: 630-372-6697 | |
Ms. Susan Kay Savage, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1240 Bamburg Ct, Hanover Park, IL 60133 Phone: 630-372-6599 |