Individual
MICHAEL A ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1435 WAUKEGAN RD, GLENVIEW, IL 60025-2120
(847) 832-6500
(847) 832-6040
Mailing address
2650 RIDGE AVE, EVANSTON HOSPITAL, EVANSTON, IL 60201-1718
(847) 570-1206
(847) 570-1248
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
—
IL
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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