MR. Ernest Edward Ellison, P.A.

NPI #1730374976 in Oak Lawn, Illinois

Provider Information

NPI Number
1730374976
Entity Type
Individual
Name
MR. Ernest Edward Ellison, P.A.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
P.A.
Enumeration Date
Sep 11, 2007
Last Updated
Sep 11, 2007

Practice Location

Address
4400 W 95TH ST
Address 2
SUITE 106
ZIP Code
60453-2654
Phone
(708) 422-7758

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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