Organization Active NPI

John Elstrom, MD, PC

  • Orthopaedic Surgery Physician
  • McHenry, IL
National Provider Identifier
1982749149
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
JOHN ELSTROM, MD, PC
Practice address
406 N Front St
Suite C
McHenry, IL 60050-5593
Phone
(815) 334-3050
Fax
(844) 971-6456
NPI assigned
Feb 21, 2007
Organization subpart
Yes
Parent organization
JOHN ELSTROM, MD, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
John Elstrom, MD
Title
Owner
Phone
(815) 344-3050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

406 N Front St
Suite C
McHenry, IL 60050-5593

Mailing address

406 N Front St
Suite a
McHenry, IL 60050-5593
Phone (815) 334-3050

National Provider Directory

National Provider Directory
Part of
John Elstrom MD PC

Locations

406 Front St
Ste A
McHenry, IL 60050
Phone 8153443050 ext. 234

406 Front St
Ste C
McHenry, IL 60050
Phone (815) 344-3050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1982749149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 N FRONT ST",
            "address_2": "SUITE A",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600505593",
            "telephone_number": "815-334-3050",
            "fax_number": "815-334-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N FRONT ST",
            "address_2": "SUITE C",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600505593",
            "telephone_number": "815-334-3050",
            "fax_number": "844-971-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN ELSTROM, MD, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN  ELSTROM, MD, PC",
        "enumeration_date": "2007-02-21",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "ELSTROM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-344-3050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.