Amani Jamil Elayan
Individual provider Active NPI Physician Assistant · Rosemont, IL
NPI 1013482777 · NPPES record last updated Oct 9, 2018
Key facts
- NPI
- 1013482777
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 9701 W Higgins Rd Ste 270
Rosemont, IL 60018-4703 - Phone
- (815) 654-2300
- NPI assigned
- Oct 9, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physicians Immediate Care North Chicago LLC
Practice addresses (Care Compare)
13448 Cicero Ave
Crestwood, IL 60418-1430
Phone (708) 682-3384
2201 Oak Park Ave
Berwyn, IL 60402-2220
Phone (312) 324-0222
4211 N Cicero Ave
Chicago, IL 60641-1651
Phone (773) 794-1000
800 N Larkin Ave
Joliet, IL 60435-3429
Phone (815) 741-4300
9501 S Western Ave
Chicago, IL 60643-1013
Phone (773) 344-9465
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190110000954 | IL | Practitioner - Physician Assistant | 2961748041 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | IL | Yes |
Addresses
Primary practice location
9701 W Higgins Rd Ste 270
Rosemont, IL 60018-4703
Mailing address
9113 Redcastle Dr
Tinley Park, IL 60487-3789
Phone (708) 407-6822
Other providers in Rosemont, IL
- Chicago Rehabilitation Collective LLC
- Chiropractic and Strength Training, Inc.
- Albert S Cho
- Jason Crane
- Steven Ralph Eickenberg
- Emery Medical LLC
- Entera Healthcare LTD
- Entera Hospice, Inc.
- Stephanie Angela Fazlibasic
- Amanda Lea Fortier
All providers in Rosemont, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.