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DR. ELIZABETH MARIE WOLLENSAK D.O.
NPI 1508132507
Pediatrics in Oak Park, IL

Active since March 24, 2012Opted out of Medicare · through Feb 23, 2028
6853 NORTH AVE, OAK PARK, IL 60302(708) 383-3010(708) 383-6475 Get Directions Write a Review

NPPES record last updated: April 15, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 15, 2023, Jan 9, 2023, Nov 16, 2015 (3 updates tracked since 2015).

About Dr. Elizabeth Marie Wollensak D.o. NPPES

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

DR. ELIZABETH MARIE WOLLENSAK D.O. (NPI 1508132507) is an individual pediatrics provider in Oak Park, Illinois, licensed in Illinois (036.137629) and active in the NPI registry since March 2012. She has opted out of Medicare through February 23, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1508132507
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. ELIZABETH MARIE WOLLENSAKCredential: D.O.
Location Address6853 NORTH AVEOak Park, IL 60302-1023
Mailing Address6853 North AveOak Park, IL 60302-1023 · (708) 383-3010 · Fax (708) 383-6475
Phone(708) 383-3010
Fax(708) 383-6475
Sole ProprietorYes
Enumeration DateMarch 24, 2012
Last NPPES UpdateApril 15, 20233 updates tracked since enumeration
NPPES CertifiedApril 15, 2023
✔ NPI 1508132507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036.137629
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6853 NORTH AVE, Oak Park, IL 60302
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Elizabeth Marie Wollensak D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 23, 2016 through February 23, 2028.

Opt-Out Effective DateFebruary 23, 2016
Opt-Out In Effect ThroughFebruary 23, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

ROSA HAE S. CHOI M.D., S.C.
Specialist
6853 NORTH AVE
OAK PARK, IL 60302
Cook County (708) 383-3010
DR. JEFFREY A. CABOTAJE M.D.
Pediatrics
6853 NORTH AVE
OAK PARK, IL 60302
Cook County (708) 383-3010
PEDIATRICS UNLIMITED PLLC
Specialist
6853 NORTH AVE
OAK PARK, IL 60302
Cook County (708) 383-3010

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 Elizabeth Wollensak's NPI number?

The NPI number for Elizabeth Wollensak is 1508132507. It was assigned to this individual provider in the NPPES registry on March 24, 2012.

Where is Elizabeth Wollensak located?

Elizabeth Wollensak practices at 6853 North Ave, Oak Park, IL 60302. The listed phone number is (708) 383-3010.

What is Elizabeth Wollensak's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Elizabeth Wollensak enrolled in Medicare?

No. Elizabeth Wollensak has opted out of Medicare through February 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Elizabeth Wollensak was last updated on April 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.