Individual
DONALD E ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-6000
Mailing address
211 NORTH TRL, HAWTHORN WOODS, IL 60047-7718
(224) 623-4646
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.01331
IL
Other
Enumeration date
05/17/2024
Last updated
08/29/2024
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