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

Ellen Slade, PA-C

Individual provider Physician Assistant · NPI 1528531944

Ellen Slade, PA-C is a Physician Assistant in Chicago, Illinois. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2875 W 19th St
Chicago, IL 60623-3501
Phone: (313) 533-5002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601009218 (MI)

Record details

NPI number1528531944
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 8, 2019
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024
Mailing addressPo Box 772290, Detroit, MI 48277-2290

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