Elena G Gozum, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

036-104554 Issued in IL

Practice address

54 W Countryside Parkway
Suite C
Yorkville, IL 60560

Phone

(630) 553-6262

Fax

(630) 553-6450

NPI assigned

Aug 10, 2005

Sex

Female

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

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

Specialty

Allergy/Immunology

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527
  Medicare reassignment Care Compare group NPD
• Kaneland Allergy and Asthma Center SC

  • Allergy & Immunology Physician
  • North Aurora, IL
  • NPI 1811289325
  NPD
• Central PA Pharmacy LLC.

  • Community/Retail Pharmacy
  • Patton, PA
  • NPI 1578541413
  NPD

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1275534471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 W COUNTRYSIDE PARKWAY",
            "address_2": "SUITE C",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "60560",
            "telephone_number": "630-553-6262",
            "fax_number": "630-553-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 W COUNTRYSIDE PARKWAY",
            "address_2": "SUITE C",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "60560",
            "telephone_number": "630-553-6262",
            "fax_number": "630-553-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOZUM",
        "first_name": "ELENA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036-104554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Giangrande, FNP
• Peggy Sue Glotzbach, L.CPC
• Jake Harris Goldstein
• Sandra Kaye Gonzales, APN/FNP-BC
• Joyce Gonzalez, LCSW
• Heather Graham, MHP, BA
• Eric John Grahn, P.T.
• Jonathan Hunter Gramme
• Kayla Lrae Grayson
• Jacqueline Ann Greenwald, RPH

• Allergy & Immunology Physician in Yorkville, IL
• Providers in Yorkville, IL by specialty
• Allergy & Immunology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.