| Ellen M Daly, PA-C | |
|
2040 Ogden Ave Ste 115, Aurora, IL 60504-7205 | |
| (630) 585-0200 | |
| Not Available |
| Full Name | Ellen M Daly |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2040 Ogden Ave Ste 115, Aurora, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154856060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085007358 (Illinois) | Primary |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Entity Name | Rush-copley Medical Group Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093075848 PECOS PAC ID: 7618864877 Enrollment ID: O20040310001029 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen M Daly, PA-C 2040 Ogden Ave Ste 115, Aurora, IL 60504-7205 Ph: (630) 585-0200 | Ellen M Daly, PA-C 2040 Ogden Ave Ste 115, Aurora, IL 60504-7205 Ph: (630) 585-0200 |
Wajahat Khan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1325 N Highland Ave, Aurora, IL 60506 Phone: 630-801-2633 |
Taggart Venegas, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2111 Ogden Ave, Aurora, IL 60504 Phone: 630-978-3800 Fax: 630-852-3085 |
Amanda Lynn Roche, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 270 N Kingsway Dr, Aurora, IL 60506 Phone: 630-849-4670 |
Isabella Elaine Liu, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1221 N Highland Ave, Aurora, IL 60506 Phone: 630-264-8720 Fax: 630-264-8423 |
Juvia M Dorn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2111 Ogden Ave, Aurora, IL 60504 Phone: 630-978-3800 Fax: 630-862-3085 |
Leah Kristene Michelli, MMS, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3965 75th St, Suite 103, Aurora, IL 60504 Phone: 630-375-1625 |
Bianca Alexis Lopez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2000 Ogden Ave, Aurora, IL 60504 Phone: 630-978-6200 |