IndividualActive
Zane Elgogari
NPI 1376359760 · Physician Assistant · Summit, IL
Provider details
- NPI number
- 1376359760
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1228476
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7450 W 63rd St
Summit, IL 60501-1816
Phone: (708) 458-0757
Fax: (708) 458-3784
Approximate (ZIP-level) locationGet directions
Mailing address
7450 W 63rd St
Summit, IL 60501-1816
Registry dates
- Enumerated
- 2024-12-10
- Last updated
- 2025-01-09
- Certified
- 2025-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.