Individual provider Active NPI

Elisa L Suchy, PT

  • Physical Therapist
  • Elk Grove Village, IL
National Provider Identifier
1528217700
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070016617 Issued in IL
Practice address
990 Elk Grove Town Ctr
Elk Grove Village, IL 60007
Phone
(847) 290-1111
Fax
(847) 290-1065
NPI assigned
Sep 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070016617 IL Primary

Addresses

Primary practice location

990 Elk Grove Town Ctr
Elk Grove Village, IL 60007

Mailing address

600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6200

Other identifiers 1

IdentifierTypeStateIssuer
1619980OtherILBCBS OF IL

Other names 1

  • Elisa L Fasano Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081028000670 IL Practitioner - Physical Therapist in Private Practice 9234297631 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Bone and Joint Institute, LLCGroup PAC ID 6002814878, 603 clinicians

Practice addresses (Care Compare)

2101 Waukegan Rd
Bannockburn, IL 60015-1836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Apr 19, 2021 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jul 1, 2012 Accepting new patients
Illinois Bone and Joint Institute LLC CurrentSince Jan 1, 2025 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jul 1, 2012 Accepting new patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist CurrentSince Apr 19, 2021 Accepting new patients
Naveed H Elahi DC SC CurrentSince Jul 1, 2015 Accepting new patients
Illinois Bone and Joint Institute, LLC CurrentSince Jan 1, 2025 Accepting new patients
American Hip Institute, LLC CurrentSince May 1, 2021 Accepting new patients

Locations

2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096

5505 N Cumberland Ave
Ste 307
Chicago, IL 60656
Phone (908) 441-8887

5057 Paysphere Cir
Chicago, IL 60674

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

6502 Joliet Rd
Ste B
Countryside, IL 60525
Phone (708) 352-0547

999 E Touhy Ave
Ste 450
Des Plaines, IL 60018
Phone (630) 920-2323

900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090

1469 Ellinwood Ave
Des Plaines, IL 60016
Phone (847) 635-6896

990 Elk Grove Town Ctr
Elk Grove Vlg, IL 60007
Phone (847) 290-1111

800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442

1294 S US Highway 12
Fox Lake, IL 60020
Phone (847) 973-9440

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

300 S State St
Marengo, IL 60152
Phone (815) 568-4550

1037 E Woodfield Rd
Schaumburg, IL 60173
Phone (847) 466-7392

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

2325 W Monroe St
Springfield, IL 62704
Phone (217) 241-0270

967 N Green Bay Rd
Waukegan, IL 60085
Phone (224) 321-5237

600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250

109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251

0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1528217700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 ELK GROVE TOWN CTR",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "60007",
            "telephone_number": "847-290-1111",
            "fax_number": "847-290-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUCHY",
        "first_name": "ELISA",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-12",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070016617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "1619980",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISA",
            "last_name": "FASANO",
            "middle_name": "L",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.