Individual provider · Type 1 NPI

Willie James Elliott Jr., MD, MSC

Student in an Organized Health Care Education/Training Program · Maywood, IL

NPI number 1194529297 Active

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328

Call (708) 216-6001 Map

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician 2084N0400X125.088592 (IL)
Student in an Organized Health Care Education/Training Program Primary 390200000X125088592 (IL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194529297

Willie James Elliott Jr., MD, MSC's National Provider Identifier is 1194529297, issued on Apr 1, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Maywood, IL. The record was last updated on Jun 30, 2026.