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MR. ELMER JOHN CAPINA PA NPI 1063408417


NPI Information

NPI: 1063408417
Provider Name: MR. ELMER JOHN CAPINA, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
901 MCCLINTOCK DR
SUITE 202
BURR RIDGE, IL
ZIP 60527
Phone: (888) 220-6432
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MR. Elmer John Capina, PA is a medical physician assistant in Burr Ridge, IL with 21 years of experience. MR. Elmer John Capina, PA NPI is 1063408417. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

901 MCCLINTOCK DR
SUITE 202
BURR RIDGE, IL
ZIP 60527-872
Phone: (888) 220-6432
Fax: (630) 654-4253

The NPI 1063408417 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/21/2005 and was last updated on 5/13/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedical085-002220ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Q17666MEDICARE UPINILLINOIS
2K07268MEDICARE PINILLINOIS
3K07269MEDICARE PINILLINOIS
4K07270MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.