Ellen Middendorf, MD

NPI 1245234988 · on the registry since 2005

Practice

Address: 4600 Memorial Dr
Ste. 160
Belleville, IL 62226
Phone: (618) 235-0460
Fax: (618) 235-1464
Organisation at this address: Msa Alliance
Msa Alliance
Ca Group Llc
Ca Group, Llc
Wael Girgis Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 72

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-05-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois