Individual
MR. BRENDAN MCELLIGOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2320 E 93RD ST, CHICAGO, IL 60617-3909
(773) 967-2000
Mailing address
2320 E 93RD ST, CHICAGO, IL 60617-3909
(773) 967-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-005628
IL
Other
Enumeration date
07/13/2015
Last updated
03/24/2016
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