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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043007123

Benjamin David Ellison, DO is a Student in an Organized Health Care Education/Training Program in Olympia Fields, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

20201 Crawford Ave Ste 1276
Olympia Fields, IL 60461-1010
Phone: (708) 679-2270
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1043007123
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials DO
Sole proprietorNo
NPI enumeratedApril 22, 2025
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025
Mailing address20201 Crawford Ave Ste 1276, Olympia Fields, IL 60461-1010

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