ELITE PRACTITIONER LLC (NPI# 1619434420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619434420 |
| Entity Type | Organization |
| Organization Name | ELITE PRACTITIONER LLC |
| Practice Address |
8780 W Golf Rd Niles IL 60714-5602 |
| Mailing Address |
4714 S Evans Ave Apt 2n Chicago IL 60615-1656 |
| Practice Telephone | 7732994804 |
| Mailing Telephone | 7732998404 |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-02-28 |
| Authorized Official Name | MISS EMEM T. OBOT (SOLE MEMBER) |
| Authorized Official Telephone | 7732994804 |
| Authorized Official Credential | FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Street Address |
8780 W GOLF RD |
| City | NILES |
| State | IL |
| Zip Code | 60714-5602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730171018 | David L. Walner | Otolaryngology | 8780 W Golf Rd, Suite 200, Niles, IL 60714-5602 | 2005-08-22 |
| 1730721804 | Madison Rae Ferguson | Physician Assistant | 8780 W Golf Rd, Niles, IL 60714-5602 | 2019-10-10 |
| 1790211381 | Reitna Institute of Illinois | Ophthalmology | 8780 W Golf Rd, Ste 304, Niles, IL 60714-5602 | 2017-05-03 |
| 1184094427 | Vision Centers of America | Optometrist | 8780 W Golf Rd, Niles, IL 60714-5602 | 2015-09-29 |
| 1912383373 | A & H Family Med, P.C. | Internal Medicine | 8780 W Golf Rd, Suite 100, Niles, IL 60714-5602 | 2015-08-07 |
| 1114210911 | Jeanmarie Carone | Audiologist | 8780 W Golf Rd, Niles, IL 60714-5602 | 2011-05-26 |
| 1467767855 | Martin Emil Anderson Jr. | Otolaryngology | 8780 W Golf Rd, Suite 200, Niles, IL 60714-5602 | 2010-08-10 |
| 1770804197 | Raymond M Handler Md Sc | Specialist | 8780 W Golf Rd, Niles, IL 60714-5602 | 2010-06-21 |
| 1144479064 | Mary Ann Jordan | Audiologist | 8780 W Golf Rd, Suite 200, Niles, IL 60714-5602 | 2008-09-16 |
| 1043408594 | Julie Ann Landgraf | Audiologist-Hearing Aid Fitter | 8780 W Golf Rd, Suite 200, Niles, IL 60714-5602 | 2007-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992277347 | Superior Nursing Services LLC | Registered Nurse | 8852 N. Milwaukee Ave, Niles, IL 60714 | 2018-12-26 |
| 1669904124 | Ralph N. Robbins D.d.s., Ltd. | Dentist | 241 Golf Mill Prof. Bldg. Suite 905, Niles, IL 60714 | 2017-04-03 |
| 1962947010 | The Thresholds | Community/Behavioral Health | 8842 Prospect Ave, Niles, IL 60714 | 2016-12-28 |
| 1548632367 | Kristine Pallarca | Pharmacist | 9000 W. Golf Rd, Niles, IL 60714 | 2015-10-21 |
| 1326421082 | Zuber Koya | Optometrist | 5762 W Touhy Ave, Niles, IL 60714 | 2015-06-30 |
| 1881074193 | Northwest Podiatry Center | Durable Medical Equipment & Medical Supplies | 7954 Oakton Avenue, Niles, IL 60714 | 2015-06-02 |
| 1184039430 | Care Plus Outpatient Therapy Inc. | Occupational Therapy Assistant | 8118 N Milwaukee Ave Ste 107, Niles, IL 60714 | 2014-06-25 |
| 1750704888 | Daniel Charles Smith | Social Worker | 241golf Mill Center Suite 708, Niles, IL 60714 | 2014-01-24 |
| 1285062356 | Benjamin Trukman | Physical Therapist | 8269 West Golf Rd, Niles, IL 60714 | 2013-10-28 |
| 1750643698 | Matthew James Howard | Pediatrics | 6450 W Touhy Ave, Niles, IL 60714 | 2012-06-15 |
| Find all providers in zip 60714 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114218609 | Community Healing Centers | Point of Service | 1225 S 11th St, Niles, MI 49120-3408 | 2011-05-02 |
| 1578854063 | Community Healing Centers | Point of Service | 1225 S 11th St, Niles, MI 49120-3408 | 2011-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998326 | Balanced Health | Point of Service | 140 W 62nd St, Chicago, IL 60621-3809 | 2020-06-29 |
| 1447872676 | Vistalink Health Group, LLC | Point of Service | 2549 Waukegan Rd Ste 531, Bannockburn, IL 60015-1569 | 2020-05-11 |
| 1700419223 | Mckenna Counseling LLC | Point of Service | 3526 N California Ave Ste 101, Peoria, IL 61603-1143 | 2020-02-13 |
| 1790257723 | Epic Commiunity Development Center, Incorported | Point of Service | 18300 Dixie Hwy Fl 2, Homewood, IL 60430-3235 | 2019-01-02 |
| 1184192643 | Luann Bauer | Point of Service | 63 N Williams St, Crystal Lake, IL 60014-4443 | 2018-11-02 |
| 1033590427 | Interstate Phlebotomy Services Inc | Point of Service | 3200 Drover Ln, Darien, IL 60561-1642 | 2015-06-11 |
| 1699182642 | In Home Counseling for Seniors | Point of Service | 2318 N Lowell Ave, Chicago, IL 60639-3520 | 2014-07-22 |
| 1972934610 | Center for Vitality and Balance, LLC | Point of Service | 1280 Iroquois Ave Ste 404, Naperville, IL 60563-8570 | 2013-12-05 |
| 1720419732 | The Excellence Group, LLC | Point of Service | 1102 E 46th St Unit 202, Chicago, IL 60653-4435 | 2013-12-02 |
| 1457781916 | Applied Behavior Interventions | Point of Service | 219 N Oak Park Ave, Oak Park, IL 60302-2151 | 2013-11-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ELITE PRACTITIONER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.