Alexis Ellstrom, PAC

NPI #1114560695 in Forest Park, Illinois

Provider Information

NPI Number: 1114560695
Entity Type: Individual
Name: Alexis Ellstrom, PAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Oct 28, 2019
Last Updated: Oct 7, 2025

Practice Location

Address: 8200 ROOSEVELT RD
City: Forest Park
State: Illinois
ZIP Code: 60130-2528
Phone: (872) 231-3162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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