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NPI 1811543713

IndividualActive

Ellise Boyd, MAED

NPI 1811543713 · Community Health Worker · Joliet, IL

Provider details

NPI number: 1811543713
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Credential: MAED
Sex: Female
Sole proprietor: Yes
License: 549055 (IL)

Practice location

300 Ruby St

Joliet, IL 60435-6228

Phone: (708) 510-1287

More IL providers

Mailing address

300 Ruby St

Joliet, IL 60435-6228

Registry dates

Enumerated: 2019-08-15
Last updated: 2022-10-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Ellise Boyd, MAED — NPI 1811543713, Joliet, IL | NPI Central