ELISSA ABOU KHALIL MD
NPI 1093417354
Student in an Organized Health Care Education/Training Program in Chicago, IL

Q: What is Elissa Abou Khalil's NPI number?

The NPI number for Elissa Abou Khalil is 1093417354. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Elissa Abou Khalil's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 20, 2023PECOS Enrolled

420 E SUPERIOR ST STE 9-900, CHICAGO, IL 60611(312) 503-7975 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Elissa Abou Khalil Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISSA ABOU KHALIL MD (NPI 1093417354) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093417354

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameELISSA ABOU KHALILCredential: MD

Location Address420 E SUPERIOR ST STE 9-900Chicago, IL 60611-4494

Mailing Address420 E Superior St Ste 9-900Chicago, IL 60611-4494 · (312) 503-7975

Phone(312) 503-7975

Sole ProprietorNo

Enumeration DateMarch 20, 2023

NPPES CertifiedMarch 20, 2023

✔ NPI 1093417354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

420 E SUPERIOR ST STE 9-900, Chicago, IL 60611

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elissa Abou Khalil Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHELBIE WADDLE DO, MS, MS

Surgery