Active NPI
Elisa Hoellerich, PA
- Physician Assistant
- Chicago, IL
National Provider Identifier
1023494069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085005427
- Practice address
- 1945 W Wilson Ave Ste 100
Chicago, IL 60640-7927 - Phone
- (773) 769-9040
- Fax
- (847) 866-8990
- NPI assigned
- Jul 31, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085005427 | IL | Primary |
Addresses
Primary practice location
1945 W Wilson Ave Ste 100
Chicago, IL 60640-7927
Mailing address
2255 Glades Rd Ste 228W
Boca Raton, FL 33431-7391
Phone (561) 342-7391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085005427 | IL | MD | Physician Assistant |
Interoperability endpoints
- elisa.hoellerich.p5@direct.aara1.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1023494069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2255 GLADES RD STE 228W",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334317391",
"telephone_number": "561-342-7391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 W WILSON AVE STE 100",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606407927",
"telephone_number": "773-769-9040",
"fax_number": "847-866-8990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOELLERICH",
"first_name": "ELISA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-31",
"last_updated": "2023-05-30",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085005427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.