IndividualActive
Ellis Nam, MD
NPI 1316916190 · Sports Medicine (Orthopaedic Surgery) Physician · Chicago, IL
Provider details
- NPI number
- 1316916190
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036-106737 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3000 Halsted Street
Suite 525
Chicago, IL 60657-9269
Phone: (773) 433-3130
Approximate (ZIP-level) locationGet directions
Mailing address
900 Rand Rd Ste 300
Des Plaines, IL 60016-2359
Registry dates
- Enumerated
- 2006-03-15
- Last updated
- 2024-11-29
- Certified
- 2024-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.