Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VINISE ELACKATTU, PA
ActiveVINISE ELACKATTU, PA is a Surgical Physician Assistant healthcare provider located in LIBERTYVILLE, Illinois. NPI 1922729714 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · LIBERTYVILLE, IL
Registration Details
- NPI Number
- 1922729714
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 8, 2022 (3.9078588881519 yrs)
- Last Updated
- Apr 22, 2025
- Licenses
-
085009324 (IL)085009324 (IL)
Practice Information
- Address
-
716 S MILWAUKEE AVELIBERTYVILLE, IL, 600483225Browse IL providers · Browse ZIP 60048
- Phone
- 8473621848
- Fax
- 8473623351
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in LIBERTYVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| MR. RYAN JOSEPH HOUSNER | PA-C | 1205942539 |
| JAMES ALBERT BAKER | PA | 1578774220 |
| ERIN FISCHER | PA-C | 1649855826 |
| DARIA LUCJA SZYMCZYK | — | 1619540762 |
| ARMANDO ARNOLD DATOR APARTE | — | 1487310025 |
| JENNA ASHLEY | — | 1346082153 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.