Elena Koles, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036095112 Issued in IL

Legal business name

ELENA KOLES, M.D.

Practice address

666 Dundee Rd Ste 602
Northbrook, IL 60062-2733

Phone

(847) 291-0900

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Elena Koles, M.D., PH. D.NPI 1902984149

Title

Medical Director

Phone

(847) 219-0900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elena K Koles, M.D.

  • Allergy & Immunology Physician
  • Northbrook, IL
  • NPI 1902984149
  NPD (past) Authorized official

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1699840157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 DUNDEE RD STE 602",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622733",
            "telephone_number": "847-291-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 DUNDEE RD STE 602",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622733",
            "telephone_number": "847-291-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELENA KOLES, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "KOLES",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "847-219-0900",
        "authorized_official_credential": "M.D., PH. D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036095112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095112",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward H. Segal, D.D.S., LTD.
• Effective Artistry LLC
• Paul Egger, DDS
• Sheila R Ehrlich, MD
• Steven Eisenstein, MD
• Elevate Care Northbrook LLC (Elevate Care Northbrook)
• Elevate Care Northbrook LLC (Elevate Care Northbrook)
• Hamdy A. Elhadary, PA-C
• Elite Home Health Care Inc
• Jeffery Elliott

• Internal Medicine Physician in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.