Ellison, Maceo Russell
Ellison, Maceo Russell is an sole proprietor health care provider with primary practice located at 610 Belmont Ln , Carol Stream IL 60188-2462. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ellison, Maceo Russell can be contacted via phone (630) 752-0260.Contact Information
Primary practice address
610 Belmont Ln
Carol Stream IL 60188-2462
Phone: (630) 752-0260
Fax: (630) 752-9980
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-035394 | Illinois |
Profile Details
| NPI number | 1700025541 |
|---|---|
| LBN Legal business name | Ellison, Maceo Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 18th, 2009 |
| Last updated | Feb 18th, 2009 - about 16 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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