Elena K Koles, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

036095112 Issued in IL

Practice address

3330 Dundee Rd Ste N5
Northbrook, IL 60062-2329

Phone

(847) 291-0900

Fax

(847) 291-9344

NPI assigned

Nov 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/ImmunologyAlso: Internal Medicine

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elena Koles, M.D.

  • Internal Medicine Physician
  • Northbrook, IL
  • NPI 1699840157
  NPD (past) Authorized official
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1902984149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 DUNDEE RD STE N5",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622329",
            "telephone_number": "847-291-0900",
            "fax_number": "847-291-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 DUNDEE RD STE N5",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622329",
            "telephone_number": "847-291-0900",
            "fax_number": "847-291-9344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "666 Dundee Rd",
            "address_2": "Suite 602",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600622727",
            "country_code": "US",
            "telephone_number": "847-291-0900",
            "fax_number": "847-291-9344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLES",
        "first_name": "ELENA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036095112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarissa Koch
• Debra Elizabeth Koenitz, LCPC, ATR-BC
• Laura M Koerner, LCPC
• Ruth M. Kohl, LCSW
• Deanna Kolas, LPCC
• Linda Marie Kolka, APN
• Kristen Koll
• Kollmorgen & Natta, P.C.
• Lizabeth A. Kollmorgen, PSY.D.
• Olivia Kolomiyets

• Allergy & Immunology Physician in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Allergy & Immunology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.