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Contact Information

CLAIRE ELLER
6800 IL ROUTE 162
MARYVILLE, IL62062
 Phone: 618-288-5711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for CLAIRE ELLER · (Female)

NPI # 1508597972
Status Active
Credentials
Entity Individual
Enumeration date 06/17/2022
Last updated 01/22/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 041515285
  • IL License # 209028149
  • MO License # 2016003241
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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