Active NPI
Elona Mary Walsh, D.C.
- Chiropractor
- Glenview, IL
National Provider Identifier
1518089671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 3070 N Lake Ter
Glenview, IL 60026-1335 - Phone
- (708) 997-6221
- NPI assigned
- Apr 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary |
Addresses
Primary practice location
3070 N Lake Ter
Glenview, IL 60026-1335
Mailing address
4850 N Central Park Ave
# 1
Chicago, IL 60625-5604
Phone (773) 539-5651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01627839 | Other | IL | BLUE CROSS & BLUE SHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 038-009313 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518089671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 N CENTRAL PARK AVE",
"address_2": "# 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606255604",
"telephone_number": "773-539-5651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3070 N LAKE TER",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600261335",
"telephone_number": "708-997-6221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "ELONA",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "01627839",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.