location
search-icon
person
Jennifer L Ellens, MD
Family Medicine Physician in Glen Ellyn, Illinois
NPI 1912932831

Jennifer L Ellens is a Family Medicine Physician based in Glen Ellyn, IL. Jennifer L Ellens practices in Glen Ellyn, IL and has the professional credentials of MD. The NPI Number for Jennifer L Ellens is 1912932831 and holds a License No. 036103252 (Illinois).

The current practice location address for Jennifer L Ellens is 444 N Park Blvd, Glen Ellyn, IL and can be reached out via phone at 630-469-0045 and via fax at 630-469-0645.

Location: 444 N Park Blvd, Glen Ellyn, IL, 60137-4622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912932831
Provider Name
Jennifer L Ellens
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
444 N Park Blvd, Glen Ellyn, IL, 60137-4622
Phone Number
630-469-0045
Fax Number
630-469-0645
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
363149833 01 IL TAX IDENTIFICATION NUMBER
487450 01 IL MEDICARE GROUP NUMBER
0222075 01 IL BLUE CROSS GROUP NUMBER
036103252 05 IL
080174264 01 IL MEDICARE RAILROAD
3631498336019001 01 IL CDPG HFS PAYEE ID
institution
Provider Business Practice Location Address Details
Address
444 N Park Blvd
City
Glen Ellyn
State
Illinois
Zip
60137-4622
Phone Number
630-469-0045
Fax Number
630-469-0645
person
Provider Business Mailing Address Details
Address
444 N Park Blvd
City
Glen Ellyn
State
Illinois
Zip
60137-4622
Phone Number
630-469-0045
Fax Number
630-469-0645
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036103252 (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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.