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ELLAMONIQUE BACCUS
NPI 1710227145
Counselor - Professional in South Holland, IL

Active since February 21, 2013
16107 LASALLE STREET, SOUTH HOLLAND, IL 60473(800) 361-6880(708) 845-5505 Get Directions Write a Review

NPPES record last updated: February 21, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ellamonique Baccus NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLAMONIQUE BACCUS (NPI 1710227145) is an individual professional provider in South Holland, Illinois, licensed in Illinois (180007887) and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1710227145
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameELLAMONIQUE BACCUS
Location Address16107 LASALLE STREETSouth Holland, IL 60473
Mailing Address15127 S 73rd Ave, Suite GOrland Park, IL 60462-4398 · (800) 361-6880 · Fax (708) 845-5505
Phone(800) 361-6880
Fax(708) 845-5505
Sole ProprietorNo
Enumeration DateFebruary 21, 2013
✔ NPI 1710227145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180007887
16107 LASALLE STREET, South Holland, IL 60473
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA SMITH-HUNTOON
Counselor (Professional)
16107 LASALLE STREET
SOUTH HOLLAND, IL 60473
Cook County (708) 596-9555
LYNETTA F BUSEN LCSW
Social Worker (Clinical)
16107 LASALLE STREET
SOUTH HOLLAND, IL 60473
Cook County (708) 596-9555
SHAWNA SAPP
Social Worker (Clinical)
16107 LASALLE STREET
SOUTH HOLLAND, IL 60473
Cook County (800) 361-6880
GINNETTE YONKMAN
Counselor (Professional)
16107 LASALLE STREET
SOUTH HOLLAND, IL 60473
Cook County (800) 361-6880
ARLENE GARDNER MS
Counselor (Mental Health)
16107 LASALLE STREET
SOUTH HOLLAND, IL 60473
Cook County (708) 596-9555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellamonique Baccus's NPI number?

The NPI number for Ellamonique Baccus is 1710227145. It was assigned to this individual provider in the NPPES registry on February 21, 2013.

Where is Ellamonique Baccus located?

Ellamonique Baccus practices at 16107 Lasalle Street, South Holland, IL 60473. The listed phone number is (800) 361-6880.

What is Ellamonique Baccus's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Ellamonique Baccus was last updated on February 21, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.