Elmer L Washington, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Practice address

233 W Joe Orr Rd
Chicago Heights, IL 60411-1744

Phone

(708) 754-1044

Fax

(708) 747-3497

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073736724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 KNOLLWOOD LN",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302709",
            "telephone_number": "708-957-7317",
            "fax_number": "708-747-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 W JOE ORR RD",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604111744",
            "telephone_number": "708-754-1044",
            "fax_number": "708-747-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "ELMER",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianna Walton-Taylor
• Clifton Joseph Ward Jr., MD
• Sharronne Ward, LCPC
• Janee Sheri Ware, M.D.
• Ambrasia Washington, MS, LPC, NCC
• Shaureaye Washington, RBT
• Tarlyn Nicole Waters
• Helen M Watson-Lewis
• Richard O Watson, MD
• Wellgroup Healthpartners LLC

• All providers in Chicago Heights, IL
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.