| Elena Koles, M.D. | |
|
666 Dundee Rd Ste 602 Northbrook IL 60062-2733 | |
| (847) 291-0900 | |
| Not Available |
| Full Name | Elena Koles, M.D. |
|---|---|
| Speciality | Internal Medicine |
| Location | 666 Dundee Rd Ste 602, Northbrook, Illinois |
| Authorized Official Name and Position | Elena Koles (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8472190900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elena Koles, M.D. 666 Dundee Rd Ste 602 Northbrook IL 60062-2733 Ph: (847) 291-0900 | Elena Koles, M.D. 666 Dundee Rd Ste 602 Northbrook IL 60062-2733 Ph: (847) 291-0900 |
| NPI Number | 1699840157 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 06/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699840157 | NPI | - | NPPES |
| 036095112 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036095112 (Illinois) | Primary |
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