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Search › Illinois › 152W00000X

Mark Ellison, O.D

NPI 1952509424 · on the registry since 2007

Practice

Address
422 W Bethalto Dr
Bethalto, IL 62010
Phone
(618) 377-5221
Fax
(618) 377-5220
Organisation at this address
Mark A Ellison, Ltd
Lynley E Atwood, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-08-21

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