Ellman, Carol
Ellman, Carol is an individual health care provider with primary practice located at 3633 W Lake Ave Ste 204 , Glenview IL 60026-5802. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ellman, Carol can be contacted via phone (847) 729-2108.Contact Information
Primary practice address
3633 W Lake Ave Ste 204
Glenview IL 60026-5802
Phone: (847) 729-2108
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036097454 | Illinois |
Profile Details
| NPI number | 1588613954 |
|---|---|
| LBN Legal business name | Ellman, Carol |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Jan 24th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588613954 | NPPES |
| Illinois | MEDICAID | 036097454 |
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