Active NPI
Elchanan Golan, M.D.
- Pediatrics Physician
- Arlington Heights, IL
National Provider Identifier
1396805693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036051641
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036051641 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Primary Care Clinic/Center
- Arlington Heights, IL
- NPI 1053434688
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.