Individual provider Active NPI

Elba-Julie Quinones, M.D.

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1073615563
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036-071562 Issued in IL
Practice address
3600 W Fullerton Ave
Chicago, IL 60647-2319
Phone
(773) 782-2800
Fax
(773) 782-5042
NPI assigned
Sep 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036-071562 IL Primary

Addresses

Primary practice location

3600 W Fullerton Ave
Chicago, IL 60647-2319

Mailing address

5240 N Pulaski Rd
Suite E
Chicago, IL 60630-1750
Phone (773) 463-7337

Other practice location 1

5240 N Pulaski Rd
Suite E
Chicago, IL 60630-1750
Phone (773) 463-7337

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address julie-elba.quinones.1@17986.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190425002519 IL Practitioner - Pediatric Medicine 0345582102 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-071562ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infant Welfare Society of Chicago CurrentSince Apr 1, 2019 Accepting new patients
Advocate North Side Health Network Past Accepting new patients
Infant Welfare Society of Chicago Past Accepting new patients
North Park Pediatrics, S. C. Pediatrics Past Accepting new patients

Locations

3600 W Fullerton Ave
Chicago, IL 60647
Phone (773) 782-2800

6416 W Belmont Ave
Chicago, IL 60634
Phone (773) 725-5400

Interoperability endpoints

  • Direct secure messaging: elbajulie.quinones@iws.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1073615563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 N PULASKI RD",
            "address_2": "SUITE E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301750",
            "telephone_number": "773-463-7337",
            "fax_number": "773-478-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472319",
            "telephone_number": "773-782-2800",
            "fax_number": "773-782-5042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5240 N Pulaski Rd",
            "address_2": "SUITE E",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606301750",
            "country_code": "US",
            "telephone_number": "773-463-7337",
            "fax_number": "773-478-5025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINONES",
        "first_name": "ELBA-JULIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-04",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-071562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julie-elba.quinones.1@17986.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "3600 W Fullerton Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606472319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.