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NPI Code Detail

MEDICARE: ELLIS JEAN HUTTON FARR

MEDICARE: ELLIS JEAN HUTTON FARR
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
1235Z00000XSpeech-Language Pathologist146.017583IL

General Provider Information

NPI Number : 1316805153
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLIS JEAN HUTTON FARR
Provider Business Mailing Address
First Line : 1444 W LUNT AVE APT 2
Second Line :
City : CHICAGO
State : IL
Zip : 60626-2858
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 42 W MADISON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60602-4309
Country : US
Telephone Number : 773-553-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “ ELLIS JEAN HUTTON FARR ” Practice Location

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