Martin Ira Ellenby is a Surgery in Chicago, Illinois. Martin Ira Ellenby practices all healthcare services and medical treatments related to Surgery. The NPI Number for Martin Ira Ellenby is 1184624819. The last update date is 2020-02-21.
Martin Ira Ellenby's current location address is Po Box 84992, Chicago, Illinois. You can contact this provider via phone number 9187103710 and fax number 9187700058. The mailing address for Martin Ira Ellenby is Po Box 84992, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martin Ira Ellenby |
|---|---|
| Address | Po Box 84992, Chicago, Illinois |
| Phone Number | 9187103710 |
| Fax Number | 9187700058 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1184624819 |
|---|---|
| Provider Enumeration Date | 2005-07-22 |
| Last Updated Date | 2020-02-21 |
Provider Mailing Address Detail
| Address | Po Box 84992 |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606894992 |
| Phone Number | 9187103710 |
| Fax Number | 9187700058 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 36077308 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36077308 | IL | -- | |
| 200123470B | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Martin Ira Ellenby?
The Martin Ira Ellenby has been issued the NPI (National Provider Identifier) 1184624819 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Martin Ira Ellenby is located?
The Martin Ira Ellenby is situated at the following address: Po Box 84992, Chicago, IL, 606894992.
What is Martin Ira Ellenby's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Martin Ira Ellenby is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.
On what date did the Martin Ira Ellenby receive the assignment of its 1184624819 from the Centers for Medicare & Medicaid Services?
The Martin Ira Ellenby was issued its 1184624819 by the Centers for Medicare & Medicaid Services on 2005-07-22.
As of what date were the Martin Ira Ellenby's details last updated?
The information pertaining to the Martin Ira Ellenby, including its address, specialty, and other details, was most recently updated on 2020-02-21.