Dr. Fredrick Ellyin, Ltd

LBN: Dr. Fredrick Ellyin, Ltd
Dr. Fredrick Ellyin, Ltd is an health care organization with primary practice located at 5140 N California Ave Suite 545, Chicago IL 60625-3645. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as the primary health care specialty. Dr. Fredrick Ellyin, Ltd can be contacted via phone (773) 275-0177, or through Ellyin, Fredrick M via phone (773) 275-0177.

Contact Information

Primary practice address
5140 N California Ave Suite 545 Chicago IL 60625-3645
Phone: (773) 275-0177
Fax: (773) 275-5431
Website:
Map and Directions
Authorized official contact:
Name: Ellyin, Fredrick M MD, FACP, FCP, FACE
Phone: (773) 275-0177

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X Illinois

Profile Details

NPI number 1598847642
LBN Legal business name Dr. Fredrick Ellyin, Ltd
DBA Doing business as
Authorized official Ellyin, Fredrick M MD, FACP, FCP, FACE
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2006
Last updated Apr 20th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598847642 NPPES
Illinois Other 21609026 BLUE SHIELD PROVIDER #

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