Individual
ELLEN S BRULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7900 N MILWAUKEE AVE, NILES, IL 60714-3159
(847) 967-9660
(847) 470-9323
Mailing address
7900 N MILWAUKEE AVE, NILES, IL 60714-3159
(847) 967-9660
(847) 470-9323
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036073311
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623792
BLUE CROSS BLUE SHIELD
IL
05
—
036073311
—
IL
Enumeration date
10/28/2006
Last updated
12/07/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us