Individual
ELLEN MICHELLE MLOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1015 SUMMIT ST, ELGIN, IL 60120-4362
(847) 742-6888
(847) 742-8544
Mailing address
1015 SUMMIT STREET, ELGIN, IL 60120
(847) 742-6888
(847) 742-8544
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036138495
IL
Other
Enumeration date
04/02/2012
Last updated
07/13/2015
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