| Doctor Name: | DR. HELENE RITA ELLIS |
| NPI Number: | 1063533156 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W., PH.D. |
| License Number: | |
| Business Practice Address: | 3330 Old Glenview Rd Suite 15 Wilmette, IL - 600912963 |
| Business Phone Number: | 8478004408 |
| Business Fax Number: | |
| Mailing Address: | 2530 Wellington Ct, EVANSTON |
| State: | IL |
| Postal Code: | 602014975 |
| Phone Number: | 8474754407 |
| Fax Number: | 8474754420 |
| NPI Enumeration Date: | 04/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |