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Gary Ellison
NPI 1598639072 · on the registry since 2025
Practice
- Address
- 2211 S Highland Ave Apt 3c
Lombard, IL 60148 - Phone
- (708) 833-3342
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-30
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