Individual
DR. MONICA R ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1290
(708) 923-4000
(708) 923-5859
Mailing address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1290
(708) 923-4000
(708) 923-5859
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101280348
VA
208M00000X
Hospitalist Physician
Primary
036170903
IL
390200000X
Student in an Organized Health Care Education/Training Program
0116035364
VA
Other
Enumeration date
06/20/2021
Last updated
07/09/2024
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