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Chris Robert Ellis, PTA
Skilled Nursing Facility in Lockport, Illinois
NPI 1942667753

Chris Robert Ellis is a Skilled Nursing Facility based in Lockport, IL. Chris Robert Ellis practices in Lockport, IL and has the professional credentials of PTA. The NPI Number for Chris Robert Ellis is 1942667753 and holds a License No. 160.006451 (Illinois).

The current practice location address for Chris Robert Ellis is 16849 Mallard Ln, Lockport, IL and can be reached out via phone at 708-476-0350.

Location: 16849 Mallard Ln, Lockport, IL, 60441-1309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942667753
Provider Name
Chris Robert Ellis
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
16849 Mallard Ln, Lockport, IL, 60441-1309
Phone Number
708-476-0350
Fax Number
Provider Enumeration Date
01/25/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
160.006451 01 IL IL PT LICENSE
institution
Provider Business Practice Location Address Details
Address
16849 Mallard Ln
City
Lockport
State
Illinois
Zip
60441-1309
Phone Number
708-476-0350
Fax Number
person
Provider Business Mailing Address Details
Address
16849 Mallard Ln
City
Lockport
State
Illinois
Zip
60441-1309
Phone Number
708-476-0350
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
160.006451 (Illinois)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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