Individual provider Active NPI

Elmer A Carasig, MD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1871570960
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036051599 Issued in IL
Practice address
2222 W Division St
Ste 300
Chicago, IL 60622-2990
Phone
(773) 486-3537
Fax
(773) 486-5224
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036051599 IL Primary

Addresses

Primary practice location

2222 W Division St
Ste 300
Chicago, IL 60622-2990

Mailing address

2222 W Division St
Ste 300
Chicago, IL 60622-2990
Phone (773) 486-3537

Other identifiers 1

IdentifierTypeStateIssuer
036051599MedicaidIL

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

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1871570960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST",
            "address_2": "STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222990",
            "telephone_number": "773-486-3537",
            "fax_number": "773-486-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST",
            "address_2": "STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222990",
            "telephone_number": "773-486-3537",
            "fax_number": "773-486-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARASIG",
        "first_name": "ELMER",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036051599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036051599",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.