# MICHAEL W ELLIOTT II

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1548267693
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 036102103 | IL | — |
| 261QR1300X | Rural Health Clinic/Center | 036-102103 | IL | Yes |

## Other

- **Enumeration date:** 07/05/2005
- **Last updated:** 10/03/2013