DAVID L ELLENS MD FACP LLC

TINLEY PARK, IL
NPI1235255118
Entity TypeOrganization
Authorized ContactDAVID L ELLENS
President
708-342-1573
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036088924)
Enumeration Date2007-03-22
Last Update Date2020-08-22
Business Address
DAVID L ELLENS MD FACP LLC
6703 159TH ST STE 115
TINLEY PARK, IL 60477-1782
Phone number: 708-342-1573
Mailing Address
DAVID L ELLENS MD FACP LLC
6703 159TH ST STE 115
TINLEY PARK, IL 60477-1782
Phone number: 708-342-1573
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