ALEXIS ELLSTROM, PAC
Physician Assistant
Active
Individual
NPI: 1114560695
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 085.007289 (IL) |
Frequently Asked Questions
NPI 1114560695 is the National Provider Identifier for ALEXIS ELLSTROM, PAC, a Physician Assistant provider located in Forest Park, IL. This NPI was enumerated on October 28, 2019.
ALEXIS ELLSTROM, PAC practices at 8200 ROOSEVELT RD, Forest Park, IL 60130.
Quick Facts
- NPI
- 1114560695
- Type
- Individual
- Enumerated
- Oct 28, 2019
- Last Updated
- Oct 7, 2025
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