Ellison, Ernest Edward

Ellison, Ernest Edward is an individual health care provider with primary practice located at 4400 W 95Th St Suite 106, Oak Lawn IL 60453-2654. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Ellison, Ernest Edward can be contacted via phone (708) 422-7758.

Contact Information

Primary practice address
4400 W 95Th St Suite 106 Oak Lawn IL 60453-2654
Phone: (708) 422-7758
Fax: (708) 422-8154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085.002980 Illinois

Profile Details

NPI number 1730374976
LBN Legal business name Ellison, Ernest Edward
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2007
Last updated Sep 11th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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