Individual
ELLEN I. VORONOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
133 E BRUSH HILL RD STE 100, ELMHURST, IL 60126-5660
(630) 967-2225
(630) 501-0645
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036101656
IL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
036101656
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036101656
—
IL
01
—
250012171
RAILROAD MEDICARE
IL
Enumeration date
11/02/2005
Last updated
08/28/2023
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