Jennifer L Ellens in Glen Ellyn - Family Medicine
Jennifer L Ellens - NPI 1912932831
Jennifer L Ellens is a Family Medicine in Glen Ellyn, Illinois. Jennifer L Ellens practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jennifer L Ellens is 1912932831. The last update date is 2013-04-04.
Jennifer L Ellens's current location address is 444 N Park Blvd, Glen Ellyn, Illinois. You can contact this provider via phone number 6304690045 and fax number 6304690645. The mailing address for Jennifer L Ellens is 444 N Park Blvd, Glen Ellyn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer L Ellens |
|---|---|
| Address | 444 N Park Blvd, Glen Ellyn, Illinois |
| Phone Number | 6304690045 |
| Fax Number | 6304690645 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1912932831 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2013-04-04 |
Provider Mailing Address Detail
| Address | 444 N Park Blvd |
|---|---|
| City | Glen Ellyn |
| State | Illinois (IL) |
| Post Code | 601374622 |
| Phone Number | 6304690045 |
| Fax Number | 6304690645 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36103252 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 363149833 | IL | TAX IDENTIFICATION NUMBER | |
| 487450 | IL | MEDICARE GROUP NUMBER | |
| 222075 | IL | BLUE CROSS GROUP NUMBER | |
| 36103252 | IL | -- | |
| 80174264 | IL | MEDICARE RAILROAD | |
| 363149833601900 | IL | CDPG HFS PAYEE ID |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jennifer L Ellens by the Centers for Medicare & Medicaid Services?
The Jennifer L Ellens has been issued the NPI (National Provider Identifier) 1912932831, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jennifer L Ellens is located?
The Jennifer L Ellens is situated at the following address: 444 N Park Blvd, Glen Ellyn, IL, 601374622.
What is Jennifer L Ellens's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jennifer L Ellens is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
When was the Jennifer L Ellens's 1912932831 issued?
The Jennifer L Ellens's 1912932831 was issued on 2006-07-11.
As of what date were the Jennifer L Ellens's details last updated?
The information pertaining to the Jennifer L Ellens, including its address, specialty, and other details, was most recently updated on 2013-04-04.