Dr Todd W Ellingson, MD | |
1324 N Sheridan Rd, Waukegan, IL 60085-2161 | |
(847) 360-3000 | |
Not Available |
Full Name | Dr Todd W Ellingson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 21 Years |
Location | 1324 N Sheridan Rd, Waukegan, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972637973 | NPI | - | NPPES |
274560 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD27501 (Oregon) | Primary |
207P00000X | Emergency Medicine | 036.117290 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Tuality Community Hospital | Hillsboro, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tuality Medical Group Llc | 7416173414 | 239 |
Entity Name | Oregon Health & Science University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609824010 PECOS PAC ID: 4284542945 Enrollment ID: O20040121000929 |
Entity Name | Tuality Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275591984 PECOS PAC ID: 3678486107 Enrollment ID: O20040130000359 |
Entity Name | Portland Adventist Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215910302 PECOS PAC ID: 7012827876 Enrollment ID: O20040226000131 |
Entity Name | Tuality Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073929782 PECOS PAC ID: 7416173414 Enrollment ID: O20140729000238 |
Mailing Address | Practice Location Address |
---|---|
Dr Todd W Ellingson, MD 530 W Dickens Ave, Chicago, IL 60614-4596 Ph: (773) 896-5902 | Dr Todd W Ellingson, MD 1324 N Sheridan Rd, Waukegan, IL 60085-2161 Ph: (847) 360-3000 |
Patricia Ann Schultz, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1507 Waukegan Road, Robert Morris University, Waukegan, IL 60085 Phone: 847-578-6000 | |
Christina Bianca Dorow, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1324 N Sheridan Rd, Waukegan, IL 60085 Phone: 847-360-3000 | |
Sara Winstanley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1324 N Sheridan Rd, Waukegan, IL 60085 Phone: 847-360-4023 Fax: 847-360-4221 | |
Murray J Keene, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1324 N Sheridan Rd, Waukegan, IL 60085 Phone: 847-360-4023 Fax: 847-360-4221 | |
Sara Michele Ferrera, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1324 N Sheridan Rd, Waukegan, IL 60085 Phone: 847-360-3000 | |
Glenn Murakami, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1324 N Sheridan Rd, Waukegan, IL 60085 Phone: 847-360-4023 | |
Nicholas Ryan Sherman, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1324 N Sheridan Rd, Waukegan, IL 60085 Phone: 847-360-3000 |