Mechelle E Elosiebo, M.D. Valid NPI

Individual provider · Family Medicine Physician · O Fallon, IL

NPI

1417185984

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

036142813 (IL)

Sex

Female

Sole proprietor

No

Enumerated

2009-06-23

Last updated

2018-03-09