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ANDREW N ELLINGSON, MD – NPI #1093864118
Diagnostic Radiology

NPI Profile for Dr ANDREW N ELLINGSON in MOLINE, IL.

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Contact Information

ANDREW N ELLINGSON, MD
615 VALLEY VIEW DR
SUITE 202
MOLINE, IL  61265-6180
 Phone: 309-762-1072
 Fax: 309-762-1094
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

 2085R0202X 30 Physician/Diagnostic Radiology
 

Neuroradiology

 2085N0700X
Indicates primary specialty

NPI Profile & details for ANDREW N ELLINGSON · (Male)

NPI Number 1093864118
Status Active
Credentials MD
Entity Individual
Enumeration date 01/09/2007
Last updated 10/06/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 35838
  • IL License # 036-117228
  • WI License # 63797-20
Hospital affiliation(s)
  • GRANT REG HEALTH CTR - (Critical Access)
    507 S MONROE ST
    LANCASTER, WI 53813
  • HAMMOND HENRY HOSPITAL - (Critical Access)
    600 N COLLEGE AVENUE
    GENESEO, IL 61254
  • TRINITY BETTENDORF - (Acute Care)
    4500 UTICA RIDGE ROAD
    BETTENDORF, IA 52722
  • TRINITY MUSCATINE - (Acute Care)
    1518 MULBERRY AVENUE
    MUSCATINE, IA 52761
  • TRINITY ROCK ISLAND - (Acute Care)
    2701 17TH ST
    ROCK ISLAND, IL 61201
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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