| Doctor Name: | DR. ANDREW N ELLINGSON |
| NPI Number: | 1093864118 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 35838 |
| Business Practice Address: | 615 Valley View Dr Suite 202 Moline, IL - 612656180 |
| Business Phone Number: | 3097621072 |
| Business Fax Number: | 3097621094 |
| Mailing Address: | 615 Valley View Dr, Suite 202 MOLINE |
| State: | IL |
| Postal Code: | 612656180 |
| Phone Number: | 3097621072 |
| Fax Number: | 3097621094 |
| NPI Enumeration Date: | 01/09/2007 |
| NPI Last Update Date: | 05/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085N0700X |
| License Number: | 35838 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Neuroradiology |
| Taxonomy Definition: | A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |