Provider Demographics
NPI:1184398760
Name:HILL, ELLEN MARIE (PA)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:MARIE
Last Name:HILL
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:820 S IL ROUTE 59 STE 320
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:IL
Mailing Address - Zip Code:60103-1694
Mailing Address - Country:US
Mailing Address - Phone:630-225-2663
Mailing Address - Fax:630-225-2399
Practice Address - Street 1:1611 W HARRISON ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-4861
Practice Address - Country:US
Practice Address - Phone:877-632-6637
Practice Address - Fax:708-409-5179
Is Sole Proprietor?:No
Enumeration Date:2021-08-06
Last Update Date:2024-06-12
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Provider Licenses
StateLicense IDTaxonomies
IL085-008662363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant