Organization
ELENA KOLES, M.D.
Active
Organization
ELENA KOLES, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA KOLES M.D., PH. D. (MEDICAL DIRECTOR)
(847) 219-0900
Entity
Organization
Contact information
Practice address
666 DUNDEE RD STE 602, NORTHBROOK, IL 60062-2733
(847) 291-0900
Mailing address
666 DUNDEE RD STE 602, NORTHBROOK, IL 60062-2733
(847) 291-0900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036095112
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036095112
—
IL
Enumeration date
11/21/2006
Last updated
06/27/2008
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