Dr. Brandon Lee Ellsworth, MDMSC
Dr. Brandon Lee Ellsworth, MDMSC is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2023.
- Licensed in
- IL
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
251 E Huron StChicago, IL 60611
Phone: (312) 926-2000
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Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 1053014829 (IL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1053014829 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MDMSC |
| Sole proprietor | No |
| NPI enumerated | March 22, 2023 |
| Last updated in NPPES | May 24, 2023 |
| Certification date | May 24, 2023 |
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