Theodore Ellis in Naperville - Interventional Pain Medicine
Theodore Ellis - NPI 1689622599
Theodore Ellis is a Interventional Pain Medicine in Naperville, Illinois. Theodore Ellis practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for Theodore Ellis is 1689622599. The last update date is 2017-05-09.
Theodore Ellis's current location address is 387 Shuman Blvd, Naperville, Illinois. You can contact this provider via phone number 6303550450. The mailing address for Theodore Ellis is 387 Shuman Blvd, Naperville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore Ellis |
|---|---|
| Address | 387 Shuman Blvd, Naperville, Illinois |
| Phone Number | 6303550450 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1689622599 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2017-05-09 |
Provider Mailing Address Detail
| Address | 387 Shuman Blvd |
|---|---|
| City | Naperville |
| State | Illinois (IL) |
| Post Code | 605638450 |
| Phone Number | 6303550450 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Interventional Pain Medicine |
|---|---|
| Taxonomy | 208Vp0014X |
| Licence No | 36088223 |
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Definition: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36088223 | IL | -- |
Post Comment/ Review Below
What is the Theodore Ellis's 1689622599?
The Theodore Ellis's NPI (National Provider Identifier) Number is 1689622599. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Theodore Ellis's facilities are geographically located?
The facilities of Theodore Ellis are physically situated at the following location: 387 Shuman Blvd, Naperville, IL, 605638450.
What is Theodore Ellis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Theodore Ellis's specialized field of practice is Interventional Pain Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 208Vp0014X.
On what date did Theodore Ellis receive its 1689622599 assignment from the Centers for Medicare & Medicaid Services?
The Theodore Ellis was assigned its 1689622599 on 2006-05-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Theodore Ellis's details last updated?
The information pertaining to the Theodore Ellis, including its address, specialty, and other details, was most recently updated on 2017-05-09.