| Mr Ernest Edward Ellison, PA | |
|
4400 W 95th St, Suite 106, Oak Lawn, IL 60453-2654 | |
| (708) 422-7758 | |
| (708) 422-8154 |
| Full Name | Mr Ernest Edward Ellison |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 4400 W 95th St, Oak Lawn, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730374976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 085.002980 (Illinois) | Primary |
| Entity Name | Home Health Medical LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578665907 PECOS PAC ID: 3375435373 Enrollment ID: O20040325001139 |
| Entity Name | App of Illinois Ed PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053860080 PECOS PAC ID: 7517245384 Enrollment ID: O20161028001650 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ernest Edward Ellison, PA 4400 W 95th St, Suite 106, Oak Lawn, IL 60453-2654 Ph: (708) 422-7758 | Mr Ernest Edward Ellison, PA 4400 W 95th St, Suite 106, Oak Lawn, IL 60453-2654 Ph: (708) 422-7758 |
Miss Jacqueline Rose Zdon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4400 W 95th St, Suite 205, Oak Lawn, IL 60453 Phone: 708-346-4040 Fax: 708-346-3287 |
John Louis Ancona, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4400 W 95th St, Suite 205, Oak Lawn, IL 60453 Phone: 630-977-9764 Fax: 708-346-3287 |
Ms. Lindsay Grace Taylor, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St Fl 8, Oak Lawn, IL 60453 Phone: 708-684-4200 Fax: 708-520-1885 |
Ellen Mcconnell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4440 W 95th St Ste 1332h, Oak Lawn, IL 60453 Phone: 708-684-5437 |
Anuprit Kaur Ahuja, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-8000 |
Edyta Slodyczka, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4400 W 95th St Ste 407, Oak Lawn, IL 60453 Phone: 708-684-4029 Fax: 708-684-4033 |
Zachary Byington, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4400 W 95th St Ste 308, Oak Lawn, IL 60453 Phone: 708-346-4040 Fax: 708-346-3287 |