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Contact Information

KEITH F ELLIOTT, RN
17088 OLD STATE RD
SYCAMORE, IL60178-8547
 Phone: 815-895-3595
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

163WH0200X
Indicates primary specialty

NPI Profile & details for KEITH F ELLIOTT · (Male)

NPI Number 1154590560
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 02/29/2008
Last updated 02/29/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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