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

Lara M. Ellison, DO

Individual provider Family Medicine Physician · NPI 1528079803

Lara M. Ellison, DO is a Family Practice in Naperville, Illinois. Graduated from Chicago College of Osteopathy in 2003, 23 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
23
Trained at
Chicago College of Osteopathy
Licensed in
IL
In the registry since
2006
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

2007 95th St Ste 105
Naperville, IL 60563-7802
Phone: (630) 646-6920
Fax: (630) 646-6925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036114549 (IL)

Record details

NPI number1528079803
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 11, 2006
Last updated in NPPESMarch 26, 2021
Certification dateMarch 26, 2021
Mailing address2007 95th St, Ste 105, Naperville, IL 60563-7802

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolCHICAGO COLLEGE OF OSTEOPATHY
Graduated 2003 (23 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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