Eller, Theodore

Eller, Theodore is an individual health care provider with primary practice located at 2350 N Rockton Ave , Rockford IL 61103-3600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Eller, Theodore can be contacted via phone (815) 971-7600.

Contact Information

Primary practice address
2350 N Rockton Ave Rockford IL 61103-3600
Phone: (815) 971-7600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 036058013 Illinois

Profile Details

NPI number 1487690533
LBN Legal business name Eller, Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jan 26th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487690533 NPPES
Illinois Other 036058013 STATE LICENSE

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