Dr JODY L ELLIS PA is a female medical professional, specializing in Physician Assistant. She graduated in 2005.
MUNSTER RADIOLOGY GROUP PC
4321 FIR ST
EAST CHICAGO
IN
463123049
Tel: 2193921700
| Npi | 1457315590 |
| Pac Id | 2668482753 |
| Professional Enrollment Id | I20060503000860 |
| Last Name | ELLIS |
| First Name | JODY |
| Middle Name | L |
| Suffix | |
| Gender | F |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | MUNSTER RADIOLOGY GROUP PC |
| Group Practice Pac Id | 1951299940 |
| Number Of Group Practice Members | 23 |
| Line 1 Street Address | 4321 FIR ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | EAST CHICAGO |
| State | IN |
| Zip Code | 463123049 |
| Phone Number | 2193921700 |
| Hospital Affiliation Ccn 1 | 150125 |
| Hospital Affiliation Lbn 1 | COMMUNITY HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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