Michael W Elliott Ii Md

LBN: Michael W Elliott Ii Md
Michael W Elliott Ii Md is an health care organization with primary practice located at 807 W Craft St , Robinson IL 62454. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Michael W Elliott Ii Md can be contacted via phone (618) 546-5052, or through Goodwin, Amy via phone (618) 546-5052.

Contact Information

Primary practice address
807 W Craft St Robinson IL 62454
Phone: (618) 546-5052
Fax: (618) 544-2094
Website:
Map and Directions
Authorized official contact:
Name: Goodwin, Amy
Phone: (618) 546-5052

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1417989237
LBN Legal business name Michael W Elliott Ii Md
DBA Doing business as
Authorized official Goodwin, Amy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2006
Last updated Oct 7th, 2010 - about 15 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 1417989237 NPPES
Illinois MEDICAID 036102103

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