Willie James Elliott Jr, MD, MSC is a
Student In An Organized Health Care Education/training Program physician based in Maywood, Illinois. Willie James Elliott Jr is licensed to practice in Illinois (license number 125088592) and his current practice location is 2160 S 1st Ave, Maywood, Illinois. He can be reached at his office (for appointments etc.) via phone at
(708) 216-6001.
NPI number for Willie James Elliott Jr is 1194529297 and his current mailing address is 2160 S 1st Ave, Maywood, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194529297.
Physician's Profile
| Full Name | Willie James Elliott Jr |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 2160 S 1st Ave, Maywood, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194529297
- Provider Enumeration Date: 04/01/2025
- Last Update Date: 06/30/2026
Medical Identifiers
Medical identifiers for Willie James Elliott Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1194529297 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084N0400X | Psychiatry & Neurology - Neurology | 125.088592 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 125088592 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Willie James Elliott Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Willie James Elliott Jr, MD, MSC 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-6001 | Willie James Elliott Jr, MD, MSC 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-6001 |
Reviews and Comments