Ellis, Carey Eugene

Ellis, Carey Eugene is an individual health care provider with primary practice located at 920 Milwaukee Ave , Lincolnshire IL 60069-3839. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Ellis, Carey Eugene can be contacted via phone (847) 866-7846.

Contact Information

Primary practice address
920 Milwaukee Ave Lincolnshire IL 60069-3839
Phone: (847) 866-7846
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036110022 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 036-110022 Illinois

Profile Details

NPI number 1316955099
LBN Legal business name Ellis, Carey Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Aug 16th, 2023 - about last year

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 1316955099 NPPES
Illinois MEDICAID 36110022

Popular Providers