Individual
ELLY MAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4409 W ESTES AVE, LINCOLNWOOD, IL 60712-2227
(847) 679-2822
Mailing address
4409 W ESTES AVE, LINCOLNWOOD, IL 60712-2227
(847) 679-2822
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
36046841
IL
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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