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Individual

ELANA COMROV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4709 GOLF RD STE 1250, SKOKIE, IL 60076-1238
(847) 676-5394
(847) 679-7183
Mailing address
4709 GOLF RD STE 1250, SKOKIE, IL 60076-1238
(847) 676-5394
(847) 679-7183

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-087709
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000221150
UNISON
OH
01
000000525913
ANTHEM
OH
01
2691350
BCMH
OH
05
2691350
OH
01
363439
WELLCARE
OH
01
750521
BUCKEYE
OH
01
7571891
AETNA
OH
Enumeration date
08/30/2006
Last updated
03/11/2015
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