MEDICARE: ELAINE GORELIK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	036-104568	IL

General Provider Information

NPI Number	:	1477588440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELAINE GORELIK MD

Provider Business Mailing Address
First Line	:	2150 PFINGSTEN RD STE 1200
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60026-1326
Country	:	US
Telephone Number	:	847-657-1819
Fax Number	:	847-657-1898

Provider Business Practice Location Address
First Line	:	2150 PFINGSTEN RD STE 1200
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60026-1326
Country	:	US
Telephone Number	:	847-657-1819
Fax Number	:	847-657-1898

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	10/16/2020

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