Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWARD C ELLIOTT III
ActiveEDWARD C ELLIOTT III is a Sports Medicine (Orthopaedic) healthcare provider located in DECATUR, Illinois. NPI 1083957088 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · DECATUR, IL
Registration Details
- NPI Number
- 1083957088
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2013 (13.426381577039 yrs)
- Last Updated
- Sep 19, 2024
- Licenses
-
016-005738 (IL)DP220790 (OR)
Practice Information
- Address
-
2 MEMORIAL DR STE 305DECATUR, IL, 625263999Browse IL providers · Browse ZIP 62526
- Phone
- 2178764830
- Fax
- 2178768385
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XX0004X
- Additional Specialty
- Sports Medicine (Orthopaedic)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.