Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUGLAS R ELLIS, MD
ActiveDOUGLAS R ELLIS, MD is a Family Medicine healthcare provider located in MONTICELLO, Illinois. NPI 1992790786 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MONTICELLO, IL
Registration Details
- NPI Number
- 1992790786
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 17, 2005 (20.904249719269 yrs)
- Last Updated
- Apr 24, 2013
- License
-
036-081822 (IL)
Practice Information
- Address
-
1002 MEDICAL CENTER DRFAMILY MEDICINEMONTICELLO, IL, 618562116Browse IL providers · Browse ZIP 61856
- Phone
- 2177622518
- Fax
- 2177625261
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in MONTICELLO, IL
| Name | Credential | NPI |
|---|---|---|
| GLEN E DUST | M.D. | 1477555738 |
| DR. JAMES E MANINT | D.O. | 1376534420 |
| DR. BRIAN C YOCKS | M.D. | 1811954878 |
| ANN C MARTY | MD | 1215958905 |
| STEVEN J SPARENBERG | DO | 1386744506 |
| ALINA PAUL | MD | 1225182702 |
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.