Elsie R. Walker M. D., P. C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036068920 Issued in IL

Legal business name

ELSIE R. WALKER M. D., P. C.

Practice address

8015 S Luella Ave
Suite 212
Chicago, IL 60617-1199

Phone

(773) 721-0470

Fax

(773) 721-0470

NPI assigned

Nov 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elsie Ruth Walker Thomas, M.D.

Title

Owner

Phone

(773) 721-0470

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elsie R Walker, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1164510772
  Medicare reassignment NPD
• Philsy Jomon Edakara, APRN

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1316587371
  NPD (past)

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

{
    "created_epoch": "1195257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1184805277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8015 S LUELLA AVE",
            "address_2": "SUITE 212",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606171199",
            "telephone_number": "773-721-0470",
            "fax_number": "773-721-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 S LUELLA AVE",
            "address_2": "SUITE 212",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606171199",
            "telephone_number": "773-721-0470",
            "fax_number": "773-721-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSIE R. WALKER M. D., P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-17",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "WALKER THOMAS",
        "authorized_official_first_name": "ELSIE",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-721-0470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036068920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "3160223878",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARMONY",
            "identifier": "242068",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036068920",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "110022723",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Elsen
• Yasser Ahmed Elseweifi, DDS
• Nancy Elshareif
• Noha Elsharkawy
• Hana Elsheemy, MD
• Mohamed Elsingergy, MD
• Naglaa Elskenidy, DSC,M.S,P.T
• Elski LLC
• Diandra Elsner, OTR/L
• Elston Management Corporation

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.