Individual provider Active NPI

Elchanan Golan, M.D.

  • Pediatrics Physician
  • Arlington Heights, IL
National Provider Identifier
1396805693
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036051641 Issued in IL
Practice address
3275 N Arlington Heights Rd
410
Arlington Heights, IL 60004-7709
Phone
(847) 577-2080
Fax
(847) 577-2149
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036051641 IL Primary

Addresses

Primary practice location

3275 N Arlington Heights Rd
410
Arlington Heights, IL 60004-7709

Mailing address

3275 N Arlington Heights Rd
410
Arlington Heights, IL 60004-7709
Phone (847) 577-2080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036051641ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Health Care Associates, S.C. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1396805693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 N ARLINGTON HEIGHTS RD",
            "address_2": "410",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047709",
            "telephone_number": "847-577-2080",
            "fax_number": "847-577-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 N ARLINGTON HEIGHTS RD",
            "address_2": "410",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047709",
            "telephone_number": "847-577-2080",
            "fax_number": "847-577-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLAN",
        "first_name": "ELCHANAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036051641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.