Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEXIS ELLSTROM, PAC
Active Sole ProprietorALEXIS ELLSTROM, PAC is a Physician Assistant healthcare provider located in FOREST PARK, Illinois. NPI 1114560695 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FOREST PARK, IL
Registration Details
- NPI Number
- 1114560695
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 28, 2019 (6.7601603683934 yrs)
- Last Updated
- Oct 7, 2025
- License
-
085.007289 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8200 ROOSEVELT RDFOREST PARK, IL, 601302528Browse IL providers · Browse ZIP 60130
- Phone
- 8722313162
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FOREST PARK, IL
| Name | Credential | NPI |
|---|---|---|
| GREETA ZORN GULEZIAN | ANP | 1477688257 |
| MIKAELA LYNNE MCGRORY | PA-C | 1851666226 |
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.