# MICHAEL W ELLIOTT II MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417989237
- **Authorized official:** AMY GOODWIN (RHC COORDINATOR)
- **Authorized official phone:** (618) 546-5052

## Contact information

- **Practice address:** 807 W CRAFT ST, ROBINSON, IL 62454
- **Practice address phone:** (618) 546-5052
- **Practice address fax:** (618) 544-2094
- **Mailing address:** 807 W CRAFT ST, ROBINSON, IL 62454
- **Mailing address phone:** (618) 546-5052
- **Mailing address fax:** (618) 544-2094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 10/07/2010
