Active NPI
Elena Vasco, PHYSICAL THERAPIST
- Physical Therapist
- Chicago, IL
National Provider Identifier
1740750033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.018858
- Practice address
- 5793 N Lincoln Ave
Chicago, IL 60659-4722 - Phone
- (773) 561-6370
- NPI assigned
- Nov 28, 2018
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.018858 | IL | Primary |
Addresses
Primary practice location
5793 N Lincoln Ave
Chicago, IL 60659-4722
Mailing address
5793 N Lincoln Ave
Chicago, IL 60659-4722
Phone (773) 561-6370
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 |
|---|---|---|---|
| 070.018858 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543363200000",
"number": "1740750033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5793 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606594722",
"telephone_number": "773-561-6370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5793 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606594722",
"telephone_number": "773-561-6370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASCO",
"first_name": "ELENA",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-28",
"last_updated": "2018-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.018858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
- Karthik Vasan
- Shanmugapriya Vasan
- Ushanalini Vasan, M.D.
- Sheel Rajiv Vasavada
- Surasak Jim Vasavanont, PHARMD
- Vascular Access Centers of Chicago LLC
- Vascular Access Centers of Illinois at Morgan Park, LLC
- Vascular Access Centers of Illinois at North Center LLC
- Dimitri Vasdekis, DDS
- Vasectomy Clinics of Chicago
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.