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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ERNEST EDWARD ELLISON, P.A.

Active

MR. ERNEST EDWARD ELLISON, P.A. is a Medical Physician Assistant healthcare provider located in OAK LAWN, Illinois. NPI 1730374976 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · OAK LAWN, IL

Registration Details

NPI Number
1730374976
Provider Type
Individual
Gender
Male
NPI Issued
Sep 11, 2007 (18.957335032611 yrs)
Last Updated
Sep 11, 2007
License
085.002980 (IL)

Practice Information

Address
4400 W 95TH ST
SUITE 106
OAK LAWN, IL, 604532654
Browse IL providers · Browse ZIP 60453
Phone
7084227758
Fax
7084228154
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in OAK LAWN, IL

Name Credential NPI
MS. TINA M BOUSMAN PA-C 1598751901
SARAH JANE EHRHARDT PA-C 1912057803
VIVIAN L GARRETT-LEE PA 1922144799
SONDOS MASOUD PA-C 1801455373
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.