DR. Marie Ellen Ellis, DO

NPI #1639631583 in Burbank, Illinois

Provider Information

NPI Number: 1639631583
Entity Type: Individual
Name: DR. Marie Ellen Ellis, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: DO
Enumeration Date: Apr 1, 2019
Last Updated: Oct 5, 2022

Practice Location

Address: 6345 W 79TH ST
City: Burbank
State: Illinois
ZIP Code: 60459-1133
Phone: (312) 609-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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