David L Ellens MD Facp LLC

Internal Medicine Physician · Tinley Park, IL

Organization Active NPI

NPI number 1235255118

Practice location

6703 159TH St Ste 115
Tinley Park, IL 60477-1782
Phone
(708) 342-1573

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NPI record

NPI
1235255118
Entity type
Organization (Type 2)
Enumeration date
March 22, 2007
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X — IL

Authorized official

Name
Dr. David L Ellens, M.D.
Title
President
Phone
(708) 342-1573

About David L Ellens MD Facp LLC

David L Ellens MD Facp LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 6703 159TH St Ste 115, Tinley Park, IL 60477-1782. The NPI number 1235255118 was assigned on March 22, 2007 and the record was last updated on August 22, 2020.

The authorized official for this organization is Dr. David L Ellens, M.D., President.

Frequently asked questions

What is the NPI number of David L Ellens MD Facp LLC?

The NPI number is 1235255118.

What is the phone number of David L Ellens MD Facp LLC?

The phone number listed for the practice location is (708) 342-1573.

Where is David L Ellens MD Facp LLC located?

6703 159TH St Ste 115, Tinley Park, IL 60477-1782.

What is the taxonomy code for David L Ellens MD Facp LLC?

The primary taxonomy code is 207R00000X – Internal Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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