Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexis Ellstrom, PAC

Individual provider Physician Assistant · NPI 1114560695

Alexis Ellstrom, PAC is a Physician Assistant in Forest Park, Illinois. Graduated from Southern Illinois University School of Medicine in 2019, 7 years ago. Practices with Integrated Rehab Consultants LLC, a 164-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Trained at
Southern Illinois University School of Medicine
Licensed in
IL
In the registry since
2019
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

8200 Roosevelt Rd
Forest Park, IL 60130-2528
Phone: (872) 231-3162
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.007289 (IL)

Record details

NPI number1114560695
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorYes
NPI enumeratedOctober 28, 2019
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Integrated Rehab Consultants Llc — 164 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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