Individual provider Active NPI

Evelyn Konsur

  • Allergy & Immunology Physician
  • Glenview, IL
National Provider Identifier
1467984823
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
036.152660 Issued in IL
Practice address
2050 Pfingsten Rd Ste 360
Glenview, IL 60026-1313
Phone
(847) 570-2431
NPI assigned
Apr 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Allergy & Immunology Physician 207K00000X 036.152660 IL Primary

Addresses

Primary practice location

2050 Pfingsten Rd Ste 360
Glenview, IL 60026-1313

Mailing address

2050 Pfingsten Rd Ste 360
Glenview, IL 60026-1313

Other practice location 1

1725 W Harrison St Ste 117
Chicago, IL 60612-3848
Phone (312) 942-6296

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220920001672 IL Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 8426327057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2050 Pfingsten Rd
Suite 360
Glenview, IL 60026-1313
Phone (847) 657-5959

2650 Ridge Ave
Evanston, IL 60201-1700

5140 N California Ave
Suite 545
Chicago, IL 60625-3660
Phone (773) 907-3038

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.152660ILMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Sep 1, 2022 Accepting new patients
Endeavor Health Medical Group Allergy & Immunology CurrentSince Sep 1, 2022 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

5140 N California Ave
Ste 700GMP
Chicago, IL 60625
Phone (773) 293-4170

1725 W Harrison St
Ste 117
Chicago, IL 60612
Phone (312) 942-6292

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2050 Pfingsten Rd
Glenview, IL 60026
Phone (847) 657-1820

2050 Pfingsten Rd
Ste 360
Glenview, IL 60026
Phone (847) 657-1819

Organizations & group practices 2

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": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1467984823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 PFINGSTEN RD STE 360",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 PFINGSTEN RD STE 360",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261313",
            "telephone_number": "847-570-2431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 W Harrison St Ste 117",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123848",
            "country_code": "US",
            "telephone_number": "312-942-6296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONSUR",
        "first_name": "EVELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036.152660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.