DEBORA J ELLIS

PALOS MEDICAL GROUP LLC

Dr DEBORA J ELLIS is a female medical professional, specializing in Nurse Practitioner. She graduated in 2016 from Rush Medical College Of Rush University.

Contact

PALOS MEDICAL GROUP LLC

15300 W AVE
ORLAND PARK
IL
604624600

Tel: 7084038400

DEBORA J ELLIS Information

Npi 1003352196
Pac Id 9133402464
Professional Enrollment Id I20170213001175
Last Name ELLIS
First Name DEBORA
Middle Name J
Suffix
Gender F
Credential
Medical School Name RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PALOS MEDICAL GROUP LLC
Group Practice Pac Id 4082743976
Number Of Group Practice Members 109
Line 1 Street Address 15300 W AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ORLAND PARK
State IL
Zip Code 604624600
Phone Number 7084038400
Hospital Affiliation Ccn 1 140062
Hospital Affiliation Lbn 1 PALOS COMMUNITY HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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