npidexNPI registry + Medicare data

ELIZABETH WOLLENSAK, D.O.

Pediatrics Physician · OAK PARK, IL

Individual Active Opted out of Medicare NPI 1508132507

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Pediatrics Physician208000000X✓036.137629IL
Student in an Organized Health Care Education/Training Program390200000X——

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Opted out of Medicare (Pediatric Medicine), effective 2016-02-23 through 2028-02-23.

Other Pediatrics Physician providers in Illinois

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.