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ELISABETH I. WALLNER, M.D., S.C.
NPI 1396915955
Clinic/Center - Primary Care in Chicago, IL

Active since March 10, 2008CLIA 14D0980721 · Waiver
676 N ST CLAIR, SUITE 2250, CHICAGO, IL 60611(312) 926-0888(312) 926-0889 Get Directions Write a Review

NPPES record last updated: May 8, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elisabeth I. Wallner, M.d., S.c. NPPES

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

ELISABETH I. WALLNER, M.D., S.C. (NPI 1396915955) is a healthcare organization registered as a primary care in Chicago, Illinois and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through June 12, 2028 and lists Elisabeth I Wallner, President, as its authorized official.

NPPES Registry Identity

NPI1396915955
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameELISABETH I. WALLNER, M.D., S.C.
Location Address676 N ST CLAIR, SUITE 2250Chicago, IL 60611
Mailing Address676 N St Clair, Suite 2250Chicago, IL 60611-0075 · (312) 926-0888 · Fax (312) 926-0889
Phone(312) 926-0888
Fax(312) 926-0889
Organization SubpartNo
Authorized OfficialElisabeth I WallnerPresident · (312) 926-0888
Enumeration DateMarch 10, 2008
Last NPPES UpdateMay 8, 2012
✔ NPI 1396915955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in IL · 36089720
676 N ST CLAIR, Chicago, IL 60611
Open in Google Maps ↗

Other Identifiers 5

Other9750416IL · Cigna
Other001627372IL · Blue Cross Blue Shield
Medicare UPING07589
Medicare PIN601030
Medicaid036089720IL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0980721

Elisabeth I Wallner MD Sc · Chicago, IL
Active · expires Jun 12, 2028
CLIA Number14D0980721
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2026
Certificate Expiration DateJune 12, 2028
Laboratory DirectorElisabeth I. Wallner MD
Laboratory Phone(312) 926-0888
Laboratory LocationElisabeth I Wallner MD Sc676 N St Clair, Ste 2250, Chicago, IL 60611
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

MRS. LISA F ROSENBERG MD
Ophthalmology
676 N ST CLAIR, #1500
CHICAGO, IL 60611
Cook County (312) 475-1000
NIDHI KANSAL M.D.
Internal Medicine
676 N ST CLAIR, SUITE 2300
CHICAGO, IL 60611
Cook County (312) 926-6000
HEMATOLOGY ONCOLOGY ASSOCIATES OF ILLINOIS LLC
Internal Medicine (Hematology & Oncology)
676 N ST CLAIR, SUITE 2140
CHICAGO, IL 60611
Cook County (312) 664-5400
MARJORIE MINTZ ROSENBAUM MD LLC
Dermatology
676 N ST CLAIR, SUITE 1725
CHICAGO, IL 60611
Cook County (312) 664-8533
UNIVERSITY EYE SPECIALISTS LTD
Ophthalmology (Glaucoma Specialist)
676 N ST CLAIR, #320
CHICAGO, IL 60611
Cook County (312) 475-1000
PATRICIA F. KATZ, M.D.
Obstetrics & Gynecology (Gynecology)
676 N ST CLAIR, STE 1880
CHICAGO, IL 60611
Cook County (312) 642-9844
DR. KALEOULOKAWAI STASZKOW M.D.
Internal Medicine
676 N ST CLAIR, SUITE 2300
CHICAGO, IL 60611
Cook County (312) 926-6000
CHICAGO LAKE SHORE MEDICAL ASSOCIATES,LTD
Internal Medicine
676 N ST CLAIR, SUITE 2300
CHICAGO, IL 60611
Cook County (312) 926-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elisabeth I. Wallner, M.D., S.C.'s NPI number?

The NPI number for Elisabeth I. Wallner, M.D., S.C. is 1396915955. It was assigned to this organization in the NPPES registry on March 10, 2008.

Where is Elisabeth I. Wallner, M.D., S.C. located?

Elisabeth I. Wallner, M.D., S.C. is located at 676 N St Clair Suite 2250, Chicago, IL 60611. The listed phone number is (312) 926-0888.

What is Elisabeth I. Wallner, M.D., S.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Elisabeth I. Wallner, M.D., S.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0980721) is associated with this NPI, valid through June 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elisabeth I. Wallner, M.D., S.C. was last updated on May 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.