Individual provider · Type 1 NPI

Anna Ellerbroek, PA

Physician Assistant · Machesney Park, IL

NPI number 1124006010 Active

Practice location

11475 N 2nd St
Machesney Park, IL 61115-1285

Call (815) 654-8000 Map

Fax (815) 654-8020

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124006010

Anna Ellerbroek, PA's National Provider Identifier is 1124006010, issued on Jan 3, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Machesney Park, IL. The record was last updated on Jul 13, 2026.