Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Donald E Elmore

Individual provider Physician Assistant · NPI 1740039908

Donald E Elmore is a Physician Assistant in Chicago, Illinois. Qualified in 2023, 3 years ago. Practices with Cook County, a 787-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2024
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Practice location Address checks out

1969 W Ogden Ave
Chicago, IL 60612-3765
Phone: (312) 864-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 E 51st St Ste 1, Chicago, IL 60615-2494 — (312) 572-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.01331 (IL)

Record details

NPI number1740039908
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 17, 2024
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024
Mailing address211 North Trl, Hawthorn Woods, IL 60047-7718

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Cook County — 787 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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