Individual
ELLEN MIDDENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4600 MEMORIAL DR, STE. 160, BELLEVILLE, IL 62226-5368
(618) 235-0460
(618) 235-1464
Mailing address
4600 MEMORIAL DR, STE. 160, BELLEVILLE, IL 62226-5368
(618) 235-0460
(618) 235-1464
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-108143
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108143
—
IL
05
—
1245234988
—
IL
Enumeration date
06/10/2005
Last updated
05/24/2012
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