David L Ellens MD Facp LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DAVID L ELLENS MD FACP LLC

Practice address

6703 159TH St Ste 115
Tinley Park, IL 60477-1782

Phone

(708) 342-1573

NPI assigned

Mar 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David L Ellens, M.D.

Title

President

Phone

(708) 342-1573

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235255118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6703 159TH ST STE 115",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771782",
            "telephone_number": "708-342-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6703 159TH ST STE 115",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771782",
            "telephone_number": "708-342-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L ELLENS MD FACP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLENS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-342-1573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Joseph Danielsky, MD
• Nicole Darby, MHS CCC-SLP/L
• Eugenie Guzman Darling, DDS
• Maya Muneer Darwish
• David Kushner DO PC
• Anna C. Davies, APN
• Jacinta Davis
• Jerold E Davis, PT, OCS
• Levon Davis
• Vera R Davis, MD

• Internal Medicine Physician in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.