ERNEST EDWARD ELLISON

OAK LAWN, IL
NPI1730374976
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IL  085.002980)
Enumeration Date2007-09-11
Last Update Date2007-09-11
Business Address
Mr. ERNEST EDWARD ELLISON P.A.
4400 W 95TH ST SUITE 106
OAK LAWN, IL 60453-2654
Phone number: 708-422-7758
Mailing Address
Mr. ERNEST EDWARD ELLISON P.A.
4400 W 95TH ST SUITE 106
OAK LAWN, IL 60453-2654
Phone number: 708-422-7758
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