person
Mr. Ernest Edward Ellison, PA
Medical Physician Assistant in Oak Lawn, Illinois
NPI 1730374976

Ernest Edward Ellison is a Medical Physician Assistant based in Oak Lawn, IL and is specialized in Medical. Ernest Edward Ellison practices in Oak Lawn, IL and has the professional credentials of PA. The NPI Number for Ernest Edward Ellison is 1730374976 and holds a License No. 085.002980 (Illinois).

The current practice location address for Ernest Edward Ellison is 4400 W 95Th St, Oak Lawn, IL and can be reached out via phone at 708-422-7758 and via fax at 708-422-8154.

Location: 4400 W 95Th St, Oak Lawn, IL, 60453-2654
person
Provider Profile Details
NPI Number
1730374976
Provider Name
Ernest Edward Ellison
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
4400 W 95Th St, Oak Lawn, IL, 60453-2654
Phone Number
708-422-7758
Fax Number
708-422-8154
Provider Enumeration Date
09/11/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4400 W 95Th St
City
State
Zip
60453-2654
Phone Number
708-422-7758
Fax Number
708-422-8154
person
Provider Business Mailing Address Details
Address
4400 W 95Th St
City
State
Zip
60453-2654
Phone Number
708-422-7758
Fax Number
708-422-8154
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085.002980 (Illinois)
Definition
Definition to come...
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