Individual
JAMES ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., FACEP
Contact information
Practice address
503 N MAPLE ST, EFFINGHAM, IL 62401-2006
(217) 337-2000
Mailing address
75 REMIT DRIVE, LOCKBOX 6065, CHICAGO, IL 60675-6065
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-099455
IL
207P00000X
Emergency Medicine Physician
0533706
KS
207P00000X
Emergency Medicine Physician
34.009604
OH
207P00000X
Emergency Medicine Physician
4011
IA
207P00000X
Emergency Medicine Physician
5101018060
MI
207P00000X
Emergency Medicine Physician
69402
GA
207P00000X
Emergency Medicine Physician
DO20976
DC
207P00000X
Emergency Medicine Physician
DO25267
DC
207P00000X
Emergency Medicine Physician
H46397
MD
207P00000X
Emergency Medicine Physician
H6194
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0036099455
—
IL
05
—
036099455
—
IL
05
—
036099455-4
—
IL
05
—
036099455-5
—
IL
05
—
036099455-7
—
IL
05
—
036099455-8
—
IL
05
—
036099455-9
—
IL
01
—
1063439503
BLUE SHIELD
IA
01
—
1063439503
BLUE SHIELD
KS
05
—
1063439503
—
IA
05
—
1063439503
—
ID
05
—
1063439503
—
MI
05
—
1063439503
—
MO
05
—
1063439503
—
MT
05
—
1063439503
—
NE
05
—
1063439503
—
WA
05
—
200604190B
—
KS
05
—
2966778
—
OH
01
—
5261624
BCBS
MI
05
—
EL4268421
—
OH
Enumeration date
07/17/2006
Last updated
04/22/2026
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