NPI Details
DR. Elliott Pae, M.D. is a psychiatry psychiatry neurology in Wheaton, IL with 29 years of experience. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. DR. Elliott Pae, M.D. NPI is 1497724710. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:1997
The provider's business location address is:
7 BLANCHARD CIR
SUITE 201
WHEATON, IL
ZIP 60189-039
Phone: (630) 653-2300
Fax: (630) 653-2895
The NPI 1497724710 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 3/17/2006 and was last updated on 8/2/2008.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 2084P0800X | Psychiatry & Neurology | Psychiatry | 036101323 | ILLINOIS | Yes |
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 Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 02215643 | OTHER | ILLINOIS | BLUE CROSS BLUE SHIELD |
| 2 | 036101323 | MEDICAID | ILLINOIS | |
| 3 | K07348 | MEDICARE PIN | ILLINOIS | |
| 4 | H57311 | MEDICARE UPIN | ILLINOIS | |
| 5 | CA2795 | MEDICARE PIN | ILLINOIS | |
| 6 | 586690 | MEDICARE PIN | ILLINOIS | |
