SearchIllinois207Q00000X

Joshua Ellison, MD

NPI 1972716033 · on the registry since 2007

Practice

Address
3220 Atlanta St
Springfield, IL 62707
Phone
(217) 588-7400
Organisation at this address
Walgreen Co
North Dirksen Medical Associates, Llc
Board Of Trustees Of Southern Illinois University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-05-11

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