Organization Active NPI

Elizabeth Pacocha DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Elk Grove Village, IL
National Provider Identifier
1558665869
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005329 Issued in IL
Legal business name
ELIZABETH PACOCHA DPM PC
Practice address
800 Biesterfield Rd Ste 4001
Elk Grove Village, IL 60007-3371
Phone
(847) 398-9999
Fax
(866) 988-6323
NPI assigned
Dec 29, 2010
Last updated
May 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Elizabeth PacochaNPI 1023297132
Title
President/Owner
Phone
(847) 398-9999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X NU
Foot & Ankle Surgery Podiatrist 213ES0103X 016005329 IL Primary

Addresses

Primary practice location

800 Biesterfield Rd Ste 4001
Elk Grove Village, IL 60007-3371

Mailing address

602 Kingsbridge Dr
Carol Stream, IL 60188-4320
Phone (847) 398-9999

Other identifiers 2

IdentifierTypeStateIssuer
98144391OtherILBCBS INDIVIDUAL
1602207OtherILBCBS GRP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110225000714 IL Part B Supplier - Clinic/Group Practice 0941481774 Receives reassigned benefits from 1 practitioner
Practice locations: Elk Grove Village, IL
O20120228000315 IL DME Supplier - Physician - Podiatry 0941481774 Practice locations: Elk Grove Village, IL

National Provider Directory

National Provider Directory

Locations

800 Biesterfield Rd
Ste 4001
Elk Grove Vlg, IL 60007
Phone (630) 766-8720

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13945/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1558665869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 KINGSBRIDGE DR",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601884320",
            "telephone_number": "847-398-9999",
            "fax_number": "866-988-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD STE 4001",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073371",
            "telephone_number": "847-398-9999",
            "fax_number": "866-988-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH PACOCHA DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "PACOCHA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "847-398-9999"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "98144391",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP",
            "identifier": "1602207",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.