Active NPI
George B. Elvove, M.D., PC
- Family Medicine Physician
- Libertyville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GEORGE B. ELVOVE, M.D., PC
- Practice address
- 1029 W Park Ave
Libertyville, IL 60048-2550 - Phone
- (847) 362-1367
- NPI assigned
- Nov 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George Bernard Elvove, M.D.
- Title
- Officer
- Phone
- (847) 362-1367
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IL | Primary |
Addresses
Primary practice location
1029 W Park Ave
Libertyville, IL 60048-2550
Mailing address
1029 W Park Ave
Libertyville, IL 60048-2550
Phone (847) 362-1367
National Provider Directory
National Provider DirectoryLocations
1029 W Park Ave
Libertyville, IL 60048
Phone (847) 362-1367
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.
-
- Family Medicine Physician
- Libertyville, IL
- NPI 1265537393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1750450557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 W PARK AVE",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600482550",
"telephone_number": "847-362-1367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 W PARK AVE",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600482550",
"telephone_number": "847-362-1367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE B. ELVOVE, M.D., PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ELVOVE",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "BERNARD",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "847-362-1367",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.