Whalio Doctors

NPI 1568880243

Elliott Lhospital, DO

Practitioner Anatomic Pathology & Clinical Pathology Physician Carbondale, IL

Practice location

Address
405 W Jackson St, Carbondale, IL 62901-1462
Phone
(618) 549-0721
Fax
(618) 351-4957
Mailing address
PO Box 3988, Carbondale, IL 62902-3988

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 036.149581 (IL)

Registry record

NPI
1568880243
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Mar 2014
Record last updated
8 Feb 2021

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.