SearchIllinois207R00000X

Maceo Ellison, M.D

NPI 1700025541 · on the registry since 2009 · sole proprietor

Practice

Address
610 Belmont Ln
Carol Stream, IL 60188
Phone
(630) 752-0260
Fax
(630) 752-9980

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-02-18

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