IndividualActive
Andrew Ellingson, MD
NPI 1093864118 · Diagnostic Radiology Physician · Moline, IL
Provider details
- NPI number
- 1093864118
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 63797-20 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
615 Valley View Dr
Suite 202
Moline, IL 61265-6180
Phone: (309) 762-1072
Fax: (309) 762-1094
Approximate (ZIP-level) locationGet directions
Mailing address
615 Valley View Dr
Moline, IL 61265-6180
Registry dates
- Enumerated
- 2007-01-09
- Last updated
- 2017-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.