Individual
ELLIS NAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 HALSTED STREET, SUITE 525, CHICAGO, IL 60657-9269
(773) 433-3130
Mailing address
900 RAND RD STE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
(847) 929-1154
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
036-106737
IL
Other
Enumeration date
03/15/2006
Last updated
11/29/2024
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