Active NPI
Elana Comrov, MD
- Pediatrics Physician
- Skokie, IL
National Provider Identifier
1831208107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35-087709
- Practice address
- 4709 Golf Rd Ste 1250
Skokie, IL 60076-1238 - Phone
- (847) 676-5394
- Fax
- (847) 679-7183
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35-087709 | OH | Primary |
Addresses
Primary practice location
4709 Golf Rd Ste 1250
Skokie, IL 60076-1238
Mailing address
4709 Golf Rd Ste 1250
Skokie, IL 60076-1238
Phone (847) 676-5394
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000525913 | Other | OH | ANTHEM |
| 750521 | Other | OH | BUCKEYE |
| 2691350 | Other | OH | BCMH |
| 2691350 | Medicaid | OH | |
| 363439 | Other | OH | WELLCARE |
| 7571891 | Other | OH | AETNA |
| 000000221150 | Other | OH | UNISON |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-087709 | OH | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426032000000",
"number": "1831208107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4709 GOLF RD STE 1250",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761238",
"telephone_number": "847-676-5394",
"fax_number": "847-679-7183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4709 GOLF RD STE 1250",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761238",
"telephone_number": "847-676-5394",
"fax_number": "847-679-7183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMROV",
"first_name": "ELANA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2015-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35-087709",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000525913",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUCKEYE",
"identifier": "750521",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCMH",
"identifier": "2691350",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2691350",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "363439",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7571891",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "000000221150",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.