Individual
ELLEN POLLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
901 MCCLINTOCK DR, STE 202, BURR RIDGE, IL 60527-0871
(888) 220-6432
(630) 654-4253
Mailing address
901 MCCLINTOCK DR, STE 202, BURR RIDGE, IL 60527-0871
(888) 220-6432
(630) 654-4253
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085006280
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085006280
—
IL
Enumeration date
05/11/2017
Last updated
12/06/2022
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