# JOHN ELSTROM, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JOHN ELSTROM, MD, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982749149
- **Legal business name:** JOHN ELSTROM, MD, PC
- **Authorized official:** JOHN ELSTROM MD (OWNER)
- **Authorized official phone:** (815) 344-3050

## Contact information

- **Practice address:** 406 N FRONT ST, SUITE C, MCHENRY, IL 60050-5593
- **Practice address phone:** (815) 334-3050
- **Practice address fax:** (844) 971-6456
- **Mailing address:** 406 N FRONT ST, SUITE A, MCHENRY, IL 60050-5593
- **Mailing address phone:** (815) 334-3050
- **Mailing address fax:** (815) 334-3822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 11/03/2021