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Fredrick M Ellyin

Endocrinologist (Diabetes Doctor)

5140 N California Ave Suite 545
Chicago , Illinois 60625-3645

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Image

Fredrick M Ellyin

Endocrinologist (Diabetes Doctor)

5140 N California Ave Suite 545
Chicago , Illinois 60625-3645

(773) 275-5431

Write a Review Save Call

Fredrick M Ellyin

Endocrinologist (Diabetes Doctor)

5140 N California Ave Suite 545
Chicago , Illinois 60625-3645

(773) 275-5431 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Endocrinologist (Diabetes Doctor)

Languages spoken

  • English

Location

5140 N California Ave Suite 545 Chicago , Illinois 60625-3645

First Address

  • Fredrick M Ellyin
  • 5140 N California Ave Suite 545
  • Chicago, IL
  • Zip : 60625-3645
  • Fax : (773) 275-5431
  • Phone : (773) 275-0177

Second Address

  • Fredrick M Ellyin
  • 5140 N California Ave Suite 545
  • Chicago, IL
  • Zip : 60625-3645
  • Fax : (773) 275-5431
  • Phone : (773) 275-0177

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FAQs


Where did Fredrick M Ellyin attend graduate school?

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Where did Fredrick M Ellyin do his residency?

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Where did Fredrick M Ellyin do his fellowship?

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Is Fredrick M Ellyin board certified?

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What type of doctor is Fredrick M Ellyin

Endocrinologist (Diabetes Doctor)

In what state does Fredrick M Ellyin practice in?

Illinois

Where is Fredrick M Ellyin ’s practice located?

5140 N California Ave Suite 545 , Chicago, Illinois, 60625-3645

What is Fredrick M Ellyin ’s gender?

Male

Is Fredrick M Ellyin a sole practitioner?

No

Is Fredrick M Ellyin accepting new patients?

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What languages does Fredrick M Ellyin speak?

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Does Fredrick M Ellyin accept insurance?

Yes, Fredrick M Ellyin accepts insurance

Does Fredrick M Ellyin offers telemedicine?

Fredrick M Ellyin has not indicated if he offers telemedicine

What is Fredrick M Ellyin ’s professional license number?

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What is Fredrick M Ellyin ’s NPI number?

1033179940

Does Fredrick M Ellyin have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207RE0101X Endocrinologist (Diabetes Doctor) IL

National Provider Identifier

NPI 1033179940
Provider Name Fredrick M Ellyin
First Address Chicago, IL 60625-3645
Second Address Chicago, IL 60625-3645
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 24/03/2006
Last Update Date 09/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
21609026 BLUE SHIELD IL PROVIDER # (01) IL
C44980 (02) IL

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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