| Elite Endocrinology | |
|
7447 W Talcott Ave Ste 467 Chicago IL 60631-3715 | |
| (630) 866-3636 | |
| (773) 692-2035 |
| Full Name | Elite Endocrinology |
|---|---|
| Speciality | Internal Medicine |
| Location | 7447 W Talcott Ave Ste 467, Chicago, Illinois |
| Authorized Official Name and Position | Wahid Kassar (OWNER) |
| Authorized Official Contact | 6308663636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Endocrinology 7447 W Talcott Ave Ste 467 Chicago IL 60631-3715 Ph: (630) 866-3636 | Elite Endocrinology 7447 W Talcott Ave Ste 467 Chicago IL 60631-3715 Ph: (630) 866-3636 |
| NPI Number | 1356961304 |
|---|---|
| Provider Enumeration Date | 04/20/2020 |
| Last Update Date | 10/02/2025 |
| Certification Date | 10/02/2025 |
| Medicare PECOS PAC ID | 3779994694 |
|---|---|
| Medicare Enrollment ID | O20201209000446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356961304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | () | Primary |
| Provider Name | Wahid Kassar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1144203647 PECOS PAC ID: 4789573692 Enrollment ID: I20040310001340 |
| Provider Name | Tonya L Gollahalli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588102305 PECOS PAC ID: 7315221363 Enrollment ID: I20230915000946 |
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