NPI 1033583562

Ellen McConnell, PAC

Practitioner Physician Assistant Oak Lawn, IL

Practice location

Address: 4440 W 95th St STE 1332h, Oak Lawn, IL 60453-2600
Phone: (708) 684-5437
Mailing address: 29373 Network Pl, Chicago, IL 60673-1293

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 085.005684 (IL)

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Registry record

NPI: 1033583562
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Nov 2015
Record last updated: 8 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.