Individual provider Active NPI

Alessia L. Elerby, COSMETOLOGIST

  • Durable Medical Equipment & Medical Supplies
  • Westmont, IL
National Provider Identifier
1477914125
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
011169923 Issued in IL
Practice address
128 S Cass Ave
Westmont, IL 60440
Phone
(630) 930-8697
NPI assigned
Mar 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X 011169923 IL
Prosthetic/Orthotic Supplier 335E00000X 011169923 IL
Durable Medical Equipment & Medical Supplies 332B00000X 011169923 IL Primary

Addresses

Primary practice location

128 S Cass Ave
Westmont, IL 60440

Mailing address

335 N Latrobe Ave
Chicago, IL 60644-2435
Phone (630) 930-8697

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

State licenses

LicenseStateTypeSpecialty
011169923ILMDDurable Medical Equipment & Medical Supplies

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1477914125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 N LATROBE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606442435",
            "telephone_number": "630-930-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 S CASS AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "60440",
            "telephone_number": "630-930-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELERBY",
        "first_name": "ALESSIA",
        "middle_name": "L.",
        "credential": "COSMETOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "IL",
            "license": "011169923",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IL",
            "license": "011169923",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "011169923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.