Marco Fredrick Ellis in Chicago - Plastic Surgery
Marco Fredrick Ellis - NPI 1508021171
Marco Fredrick Ellis is a Plastic Surgery in Chicago, Illinois. Marco Fredrick Ellis practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Marco Fredrick Ellis is 1508021171. The last update date is 2023-06-21.
Marco Fredrick Ellis's current location address is 259 E Erie St Ste 20-2060, Chicago, Illinois. You can contact this provider via phone number 3126956022 and fax number 3126955672. The mailing address for Marco Fredrick Ellis is 259 E Erie St Ste 20-2060, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marco Fredrick Ellis |
|---|---|
| Address | 259 E Erie St Ste 20-2060, Chicago, Illinois |
| Phone Number | 3126956022 |
| Fax Number | 3126955672 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1508021171 |
|---|---|
| Provider Enumeration Date | 2008-07-23 |
| Last Updated Date | 2023-06-21 |
Provider Mailing Address Detail
| Address | 259 E Erie St Ste 20-2060 |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606112987 |
| Phone Number | 3126956022 |
| Fax Number | 3126955672 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | 36121419 |
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Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12576013 | CAQH |
Post Comment/ Review Below
What is the Marco Fredrick Ellis's 1508021171?
The Marco Fredrick Ellis's NPI (National Provider Identifier) Number is 1508021171. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Marco Fredrick Ellis is located?
The Marco Fredrick Ellis is situated at the following address: 259 E Erie St Ste 20-2060, Chicago, IL, 606112987.
What is Marco Fredrick Ellis's area of expertise and its corresponding taxonomy classification?
The Marco Fredrick Ellis's field of specialization is Plastic Surgery, and it falls under the taxonomy code 208200000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1508021171 to Marco Fredrick Ellis?
The Centers for Medicare & Medicaid Services originally issued the 1508021171 to Marco Fredrick Ellis on 2008-07-23.
As of what date was the information pertaining to Marco Fredrick Ellis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Marco Fredrick Ellis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-06-21.