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

Dr. Marie Ellen Ellis, DO

Individual provider Internal Medicine Physician · NPI 1639631583

Dr. Marie Ellen Ellis, DO is an Internal Medicine in Burbank, Illinois. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2019, 7 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
IL
In the registry since
2019
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

6345 W 79th St
Burbank, IL 60459-1133
Phone: (312) 609-0300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036-158239 (IL)

Record details

NPI number1639631583
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 1, 2019
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022
Mailing address29373 Network Pl, Chicago, IL 60673-1005

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2019 (7 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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