Provider Demographics
NPI:1821022682
Name:ELWING, JILL E (MD)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:E
Last Name:ELWING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:621 S NEW BALLAS RD
Mailing Address - Street 2:1001B
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141
Mailing Address - Country:US
Mailing Address - Phone:314-251-5660
Mailing Address - Fax:314-251-5663
Practice Address - Street 1:621 S NEW BALLAS RD
Practice Address - Street 2:1001B
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141
Practice Address - Country:US
Practice Address - Phone:314-251-5660
Practice Address - Fax:314-251-5663
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2013-04-12
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Provider Licenses
StateLicense IDTaxonomies
MO2002011471207RG0100X, 207RI0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology