Provider Demographics
NPI:1629294467
Name:OKER, ELIF ESIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIF
Middle Name:ESIN
Last Name:OKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1335 S PRAIRIE AVE
Mailing Address - Street 2:APT. 1110
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-3121
Mailing Address - Country:US
Mailing Address - Phone:312-945-3546
Mailing Address - Fax:
Practice Address - Street 1:1335 S PRAIRIE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-3121
Practice Address - Country:US
Practice Address - Phone:312-497-7837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2023-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-093958207PT0002X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PT0002XAllopathic & Osteopathic PhysiciansEmergency MedicineMedical Toxicology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILL59883Medicare ID - Type UnspecifiedPART B