Active NPI
Elizalde Medical Group Inc
- Geriatric Medicine (Family Medicine) Physician
- Roselle, IL
National Provider Identifier
1477451425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- Legal business name
- ELIZALDE MEDICAL GROUP INC
- Practice address
- 708 Springfield Dr
Roselle, IL 60172-3433 - Phone
- (289) 971-9213
- NPI assigned
- Oct 29, 2026
- Last updated
- Oct 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Salfe Anne Elizalde
- Title
- Medical Director
- Phone
- (289) 971-9213
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | Primary |
Addresses
Primary practice location
708 Springfield Dr
Roselle, IL 60172-3433
Mailing address
708 Springfield Dr
Roselle, IL 60172-3433
Phone (289) 971-9213
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1793232000000",
"number": "1477451425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 SPRINGFIELD DR",
"city": "ROSELLE",
"state": "IL",
"postal_code": "601723433",
"telephone_number": "289-971-9213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 SPRINGFIELD DR",
"city": "ROSELLE",
"state": "IL",
"postal_code": "601723433",
"telephone_number": "289-971-9213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELIZALDE MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-29",
"last_updated": "2026-10-29",
"certification_date": "2026-10-27",
"status": "A",
"authorized_official_last_name": "ELIZALDE",
"authorized_official_first_name": "SALFE ANNE",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "289-971-9213"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roselle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.