Elmwood Park Immediate Health Care Center, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036112029 Issued in IL

Legal business name

ELMWOOD PARK IMMEDIATE HEALTH CARE CENTER, LLC

Practice address

2333 N. Harlem Ave
Suite 100
Chicago, IL 60707-2718

Phone

(773) 637-2333

Fax

(773) 637-4229

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Joanna Brzostowska

Title

Coo

Phone

(773) 637-1700

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1356396758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 N. HARLEM AVE.",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607072718",
            "telephone_number": "773-637-2333",
            "fax_number": "773-637-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 N. HARLEM AVE",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607072718",
            "telephone_number": "773-637-2333",
            "fax_number": "773-637-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMWOOD PARK IMMEDIATE HEALTH CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "BRZOSTOWSKA",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "773-637-1700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036112029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "01634215",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dalia Elmofty
• Carli P Elmore
• Donald E Elmore
• Ericka Elmore, PHARMD
• Andrew Elms, MD
• Mohammed H Elnagar, DDS,MSC
• James Elniski, MSW, LCSW
• Ellen H Elpern, A.N.P.
• Jaylan O Abd Elrahman, PHD, LCP
• Mohamed Elrakhawy, MD

• 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 Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.