Anna Ellerbroek, PA

NPI #1124006010 in Machesney Park, Illinois

Provider Information

NPI Number: 1124006010
Entity Type: Individual
Name: Anna Ellerbroek, PA
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jan 3, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 11475 N 2ND ST
City: Machesney Park
State: Illinois
ZIP Code: 61115-1285
Phone: (815) 654-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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