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

Vinise Elackattu, PA

Individual provider Physician Assistant · NPI 1922729714

Vinise Elackattu, PA is a Physician Assistant in Libertyville, Illinois. Qualified in 2022, 4 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

716 S Milwaukee Ave
Libertyville, IL 60048-3225
Phone: (847) 362-1848
Fax: (847) 362-3351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 501 Skokie Blvd Ste 211, Northbrook, IL 60062-2802 — (847) 504-3300

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085009324 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 085009324 (IL)

Record details

NPI number1922729714
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 8, 2022
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Libertyville