Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Emily Jane Ellis, PA-C

Individual provider Medical Physician Assistant · NPI 1376950816

MS. Emily Jane Ellis, PA-C is a Medical Physician Assistant in Chicago, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2014
Specialties on file
2
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

2900 N Lake Shore Dr
Chicago, IL 60657-5640
Phone: (773) 665-3086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 777 Park Ave W, Highland Park, IL 60035-2433 — (847) 432-8000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.005076 (IL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085.005076 (IL)

Record details

NPI number1376950816
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 16, 2014
Last updated in NPPESJanuary 29, 2021
Certification dateJanuary 29, 2021

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