Pollack, Ellen

Pollack, Ellen is an individual health care provider with primary practice located at 901 Mcclintock Dr Ste 202, Burr Ridge IL 60527-0871. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Pollack, Ellen can be contacted via phone (888) 220-6432.

Contact Information

Primary practice address
901 Mcclintock Dr Ste 202 Burr Ridge IL 60527-0871
Phone: (888) 220-6432
Fax: (630) 654-4253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085006280 Illinois

Profile Details

NPI number 1386171163
LBN Legal business name Pollack, Ellen
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2017
Last updated Dec 6th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386171163 NPPES
Illinois MEDICAID 085006280

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