Individual provider Active NPI

Wahiba M Elhag, M.D.

  • Internal Medicine Physician
  • Oak Park, IL
National Provider Identifier
1982891826
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036117758 Issued in IL
Practice address
6645 North Ave
Oak Park, IL 60302-1057
Phone
(708) 383-5809
Fax
(708) 383-5153
NPI assigned
Sep 25, 2007
Last updated
Mar 5, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036117758 IL Primary
Obesity Medicine (Internal Medicine) Physician 207RB0002X 036117758 IL

Addresses

Primary practice location

6645 North Ave
Oak Park, IL 60302-1057

Mailing address

6645 North Ave
Oak Park, IL 60302-1057
Phone (708) 383-5809

Other identifiers 2

IdentifierTypeStateIssuer
DG5947OtherILRAILROAD MEDICARE GROUP
P00443434OtherILRAILROAD MEDICARE INDIVID

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": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267747200000",
    "number": "1982891826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6645 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021057",
            "telephone_number": "708-383-5809",
            "fax_number": "708-383-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6645 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021057",
            "telephone_number": "708-383-5809",
            "fax_number": "708-383-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELHAG",
        "first_name": "WAHIBA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2010-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036117758",
            "primary": true
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "IL",
            "license": "036117758",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DG5947",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE INDIVID",
            "identifier": "P00443434",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.