Alexis Ellstrom, PAC | |
5701 W 79th St, Burbank, IL 60459-1332 | |
(708) 499-5400 | |
Not Available |
Full Name | Alexis Ellstrom |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 5701 W 79th St, Burbank, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114560695 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 085.007289 (Illinois) | Primary |
Mailing Address | Practice Location Address |
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Alexis Ellstrom, PAC 1040 N Glenmore St, Lockport, IL 60441-2700 Ph: (815) 545-9592 | Alexis Ellstrom, PAC 5701 W 79th St, Burbank, IL 60459-1332 Ph: (708) 499-5400 |
Melissa Juarez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5635 State Rd, Burbank, IL 60459 Phone: 708-237-8918 Fax: 708-237-8997 | |
Mr. Seyed Mahmoud Nabavi, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6345 W 79th St, Burbank, IL 60459 Phone: 708-499-1545 Fax: 708-499-4862 | |
Diane Marie Brooks, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4901 W 79th St, Burbank, IL 60459 Phone: 708-346-8268 |