Individual provider · NPI-1
Dr. Mary Ellen Acree, M.D.
Internal Medicine, Infectious Disease · Evanston, IL
NPI number1336378348
StatusActive
Last updated in NPPESApr 7, 2021
Details
- NPI
- 1336378348
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mary Ellen Acree
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2009
- Certification date
- Apr 7, 2021
- Last updated
- Apr 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0200X | Internal Medicine, Infectious Disease | 036132125 | IL | Yes |
| 207R00000X | Internal Medicine | 036.132125 | IL | |
| 208000000X | Pediatrics | 036.132125 | IL | |
| 2080P0208X | Pediatrics, Pediatric Infectious Diseases | 036132125 | IL |
Practice location
1000 Central St Ste 800Evanston, IL 60201-1780
Phone 847-657-5959 · Fax 847-657-5764
Mailing address
1000 Central St Ste 800Evanston, IL 60201-1780
Phone 847-657-5959 · Fax 847-657-5764
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