| Ms Jamie Ellsworth, SLP | |
|
700 E Walnut St, Bloomington, IL 61701-3244 | |
| (309) 827-8004 | |
| Not Available |
| Full Name | Ms Jamie Ellsworth |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 700 E Walnut St, Bloomington, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467570432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (Illinois) | Primary |
| Provider Name | Illinois State University |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669616983 PECOS PAC ID: 5597088492 Enrollment ID: O20141230000271 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jamie Ellsworth, SLP 803 S East St, Bloomington, IL 61701-6704 Ph: (309) 827-8004 | Ms Jamie Ellsworth, SLP 700 E Walnut St, Bloomington, IL 61701-3244 Ph: (309) 827-8004 |
Kathleen T Schlais, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 605 Bradley Dr Apt C, Bloomington, IL 61701 Phone: 847-987-6688 | |
Katriona Horan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1101 Elmwood Rd, Bloomington, IL 61701 Phone: 309-828-2909 | |
Lexi Maas, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2103 N Veterans Pkwy, Bloomington, IL 61704 Phone: 309-948-6469 | |
Mrs. C. Elizabeth Chamberlain-lane, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 135 N Williamsburg Dr, Bloomington, IL 61704 Phone: 309-661-8823 Fax: 309-661-8801 | |
Mrs. Leslie Ann Garthaus, M.S.,CCC-SLP-L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 26 Waterside Cir, Bloomington, IL 61704 Phone: 309-530-6982 | |
Marie Houghton, M.S. CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16 Cashel Dr, Bloomington, IL 61704 Phone: 309-912-6445 | |
Brooke Marie Nguyen, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2103 N Veterans Pkwy, Bloomington, IL 61704 Phone: 309-948-6469 |