David L Ellens MD Facp LLC

NPI #1235255118 in Tinley Park, Illinois

Provider Information

NPI Number: 1235255118
Entity Type: Organization
Organization Name: David L Ellens MD Facp LLC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 22, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 6703 159TH ST STE 115
City: Tinley Park
State: Illinois
ZIP Code: 60477-1782
Phone: (708) 342-1573

Authorized Official

Name: DR. DAVID L ELLENS, M.D.
Title: PRESIDENT
Phone: (708) 342-1573

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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