Brull, Ellen S

Brull, Ellen S is an individual health care provider with primary practice located at 7900 N Milwaukee Ave , Niles IL 60714-3159. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Brull, Ellen S can be contacted via phone (847) 967-9660.

Contact Information

Primary practice address
7900 N Milwaukee Ave Niles IL 60714-3159
Phone: (847) 967-9660
Fax: (847) 470-9323
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036073311 Illinois

Profile Details

NPI number 1043396419
LBN Legal business name Brull, Ellen S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2006
Last updated Dec 7th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043396419 NPPES
Illinois Other 01623792 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036073311 BLUE CROSS BLUE SHIELD

Popular Providers