DR. Maceo Russell Ellison, M.D.

NPI #1700025541 in Carol Stream, Illinois

Provider Information

NPI Number: 1700025541
Entity Type: Individual
Name: DR. Maceo Russell Ellison, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Feb 18, 2009
Last Updated: Feb 18, 2009

Practice Location

Address: 610 BELMONT LN
City: Carol Stream
State: Illinois
ZIP Code: 60188-2462
Phone: (630) 752-0260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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