Individual
ANNA ELLERBROEK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11475 N 2ND ST, MACHESNEY PARK, IL 61115-1285
(815) 654-8000
(815) 654-8020
Mailing address
11475 N 2ND ST, MACHESNEY PARK, IL 61115-1285
(815) 654-8000
(815) 654-8020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
01/03/2006
Last updated
07/09/2007
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