person
Tarryn Ellis
Adult Health Nurse Practitioner in Long Grove, Illinois
NPI 1801387089

Tarryn Ellis is an Adult Health Nurse Practitioner based in Long Grove, IL and is specialized in Adult Health. Tarryn Ellis practices in Long Grove, IL. The NPI Number for Tarryn Ellis is 1801387089 and holds a License No. 209016755 (Illinois).

The current practice location address for Tarryn Ellis is 3880 Salem Lake Dr Ste F, Long Grove, IL and can be reached out via phone at 847-719-2220 and via fax at 847-719-2265.

Location: 3880 Salem Lake Dr Ste F, Long Grove, IL, 60047-5292
person
Provider Profile Details
NPI Number
1801387089
Provider Name
Tarryn Ellis
Credential
Provider Entity Type
Individual
Gender
Female
Address
3880 Salem Lake Dr Ste F, Long Grove, IL, 60047-5292
Phone Number
847-719-2220
Fax Number
847-719-2265
Provider Enumeration Date
05/23/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F09170865 01 IL AANP
209016755 05 IL
institution
Provider Business Practice Location Address Details
Address
3880 Salem Lake Dr Ste F
City
State
Zip
60047
Phone Number
847-719-2220
Fax Number
847-719-2265
person
Provider Business Mailing Address Details
Address
3880 Salem Lake Dr Ste F
City
State
Zip
60047
Phone Number
847-719-2220
Fax Number
847-719-2265
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
209016755 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209016755 (Illinois)
Definition
Definition to come...
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