Individual
DR. JAMES G ELIPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
6304 N NAGLE AVE, 1ST FLOOR, CHICAGO, IL 60646-3614
(773) 853-0081
(773) 853-2970
Mailing address
6304 N NAGLE AVE, 1ST FLOOR, CHICAGO, IL 60646-3614
(773) 853-0081
(773) 853-2970
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0160031091
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016003109
—
IL
01
—
60001157
BCBS
IL
01
—
648120
MEDICARE INDIVIDUAL NUMBE
IL
Enumeration date
10/13/2005
Last updated
02/02/2016
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