Provider Demographics
NPI:1568469294
Name:ELRINGTON, ERROL GLENN (MD)
Entity Type:Individual
Prefix:DR
First Name:ERROL
Middle Name:GLENN
Last Name:ELRINGTON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6895 RELIABLE PARKWAY
Mailing Address - Street 2:#6895
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60688-0001
Mailing Address - Country:US
Mailing Address - Phone:313-255-6500
Mailing Address - Fax:313-255-3671
Practice Address - Street 1:26611 W 7 MILE RD
Practice Address - Street 2:SUITE B
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48240-2063
Practice Address - Country:US
Practice Address - Phone:313-274-8419
Practice Address - Fax:313-255-3671
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2009-04-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301030303207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4443670Medicaid
MI0P33310001Medicare PIN
MIG34609Medicare UPIN
MI0N68920001Medicare PIN