MEDICARE: ELLA JUELL BESS DPT, PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	070029211	IL

General Provider Information

NPI Number	:	1982536868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLA JUELL BESS DPT, PT

Provider Business Mailing Address
First Line	:	1200 W MONROE ST APT 605
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-2550
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	145 PLAZA DR STE 2
Second Line	:
City	:	WESTMONT
State	:	IL
Zip	:	60559-1158
Country	:	US
Telephone Number	:	630-216-9650
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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