Individual
ERYNN ELIZABETH ELLEBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1116 HARTMAN LN, SHILOH, IL 62221-8014
(618) 641-9011
Mailing address
1116 HARTMAN LN, SHILOH, IL 62221-8014
(618) 641-9011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036140501
IL
Other
Enumeration date
06/25/2013
Last updated
12/29/2021
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