Ellis Green MD

  • NPI 1053931170
According to our database, the NPI number for Ellis Green MD is 1053931170 and activated since 4 years ago. Ellis Green MD is an individual provider who specializes in Internal Medicine, and the primary practice location is 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637. You can also contact Ellis Green MD via telephone number is (773) 702-6840. Provider NPI information was last updated on 05/05/2020.

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Overview of Ellis Green MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 04/18/2020
  • Last updated: 05/05/2020

Primary Scrop of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: 125.076113
  • License State: IL

Provider Mailing Address

  • Address: 180 Harvester Dr Ste 110
    Burr Ridge, IL 60527
  • Phone: 773-702-1150
  • Fax:

Provider Practice Location

  • Address: 5841 S Maryland Ave Ste Mc7082
    Chicago, IL 60637
  • Phone: 773-702-6840
  • Fax: 773-702-2230

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Ellis Green MD?
  • A: The npi number for Ellis Green MD is 1053931170.
  • Q: What are Ellis Green MD's specialties?
  • A: Ellis Green MD's specialties are Internal Medicine and different specialities.
  • Q: What is the medical license for Ellis Green MD?
  • A: The medical license number for Ellis Green MD is 125.076113 and issued in IL in USA.
  • Q: Where is Ellis Green MD practice location?
  • A: Ellis Green MD is practicing at 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637.
  • Q: How to contact Ellis Green MD?
  • A: You can contact Ellis Green MD via 773-702-6840.
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