Active NPI
Elmhurst Memorial Healthcare
- Internal Medicine Physician
- Addison, IL
National Provider Identifier
1003046103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ELMHURST MEMORIAL HEALTHCARE
- Practice address
- 303 W Lake St
Suite 202
Addison, IL 60101-2586 - Phone
- (630) 953-3301
- Fax
- (630) 953-3302
- NPI assigned
- Jul 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Lurye, MD
- Title
- Ceo
- Phone
- (331) 221-9055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
303 W Lake St
Suite 202
Addison, IL 60101-2586
Mailing address
172 Schiller St
Elmhurst, IL 60126-2816
Phone (331) 221-6377
Other names 1
- Elmhurst Clinic
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1080079 | Elmhurst Clinic Addison #200 | Certificate of waiver | May 30, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756771200000",
"number": "1003046103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 SCHILLER ST",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262816",
"telephone_number": "331-221-6377",
"fax_number": "331-221-2706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 W LAKE ST",
"address_2": "SUITE 202",
"city": "ADDISON",
"state": "IL",
"postal_code": "601012586",
"telephone_number": "630-953-3301",
"fax_number": "630-953-3302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELMHURST MEMORIAL HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-23",
"last_updated": "2025-09-02",
"certification_date": "2025-06-04",
"status": "A",
"authorized_official_last_name": "LURYE",
"authorized_official_first_name": "DONALD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "331-221-9055",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Elmhurst Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Addison, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.