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

Dr. Marco Fredrick Ellis, MD

Individual provider Plastic Surgery Physician · NPI 1508021171

Dr. Marco Fredrick Ellis, MD is a Plastic and Reconstructive Surgery in Chicago, Illinois. Graduated from Harvard Medical School in 2005, 21 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
21
Trained at
Harvard Medical School
Licensed in
IL
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

259 E Erie St Ste 20-2060
Chicago, IL 60611-2987
Phone: (312) 695-6022
Fax: (312) 695-5672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 036121419 (IL)

Record details

NPI number1508021171
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 23, 2008
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023
Mailing address259 E Erie St Ste 20-2060, Chicago, IL 60611-2987

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesMAXILLOFACIAL SURGERY
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 2005 (21 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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