Individual provider Active NPI

Elisabeth A Vallone, PA-C

  • Physician Assistant
  • Wheaton, IL
National Provider Identifier
1215645585
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.009050 Issued in IL
Practice address
7 Blanchard Cir Ste 104
Wheaton, IL 60189-2038
Phone
(630) 668-0833
Fax
(630) 668-7685
NPI assigned
Nov 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085.009050 IL
Physician Assistant 363A00000X 085.009050 IL Primary

Addresses

Primary practice location

7 Blanchard Cir Ste 104
Wheaton, IL 60189-2038

Mailing address

7 Blanchard Cir Ste 104
Wheaton, IL 60189-2038
Phone (630) 668-0833

Other practice location 1

405 W Golf Rd
Schaumburg, IL 60195-3501
Phone (224) 215-0011

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221214002056 IL Practitioner - Physician Assistant 6608245618 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Immediate Care North Chicago LLCGroup PAC ID 8729064159, 256 clinicians

Practice addresses (Care Compare)

121 W N Ave
Chicago, IL 60610-1315
Phone (312) 643-5606

1420 Busse Rd
Elk Grove Village, IL 60007-5324
Phone (847) 653-0142

1690 W Lake St
Addison, IL 60101-1833
Phone (630) 283-6633

226 S Randall Rd
Algonquin, IL 60102-9775
Phone (224) 442-3000

2490 Bushwood Dr
Elgin, IL 60124-7898
Phone (224) 293-5200

405 W Golf Rd
Schaumburg, IL 60195-3501
Phone (224) 215-0011

4211 N Cicero Ave
Chicago, IL 60641-1651
Phone (773) 794-1000

4900 N Cumberland Ave
Norridge, IL 60706-2901
Phone (708) 456-1600

5961 N Lincoln Ave
Chicago, IL 60659-3758
Phone (312) 702-3923

7425 Barrington Rd
Hanover Park, IL 60133-2241
Phone (630) 823-0392

800 W Plainfield Rd
Countryside, IL 60525-3745
Phone (708) 298-0543

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.009050ILMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince Jun 23, 2025 Accepting new patients

Locations

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

7 Blanchard Cir
Ste 104
Wheaton, IL 60189
Phone (630) 668-0833

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1215645585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BLANCHARD CIR STE 104",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601892038",
            "telephone_number": "630-668-0833",
            "fax_number": "630-668-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BLANCHARD CIR STE 104",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601892038",
            "telephone_number": "630-668-0833",
            "fax_number": "630-668-7685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 W Golf Rd",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601953501",
            "country_code": "US",
            "telephone_number": "224-215-0011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLONE",
        "first_name": "ELISABETH",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085.009050",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.009050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.