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Lara M. Ellison, DO
Family Medicine Physician in Naperville, Illinois
NPI 1528079803

Lara M. Ellison is a Family Medicine Physician based in Naperville, IL. Lara M. Ellison practices in Naperville, IL and has the professional credentials of DO. The NPI Number for Lara M. Ellison is 1528079803 and holds a License No. 036114549 (Illinois).

The current practice location address for Lara M. Ellison is 2007 95Th Street, Naperville, IL and can be reached out via phone at 630-646-6920 and via fax at 630-646-6925.

Location: 2007 95Th Street, Naperville, IL, 60563-7802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528079803
Provider Name
Lara M. Ellison
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
2007 95Th Street, Naperville, IL, 60563-7802
Phone Number
630-646-6920
Fax Number
630-646-6925
Provider Enumeration Date
08/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036114549 1 05 IL
institution
Provider Business Practice Location Address Details
Address
2007 95Th Street
City
Naperville
State
Illinois
Zip
60563-7802
Phone Number
630-646-6920
Fax Number
630-646-6925
person
Provider Business Mailing Address Details
Address
2007 95Th Street
City
Naperville
State
Illinois
Zip
60563-7802
Phone Number
630-646-6920
Fax Number
630-646-6925
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036114549 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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