Look up the most recent NPI and PECOS records

Ellery Gronski

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

600 S Paulina St, Chicago, IL 60612-3806

PECOS Enrollment

Based on the most recent information from CMS, provider Ellery Gronski is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1285584292
Provider Type
Individual
Full Name
Gronski, Ellery
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
1/29/2026
Last Updated
1/29/2026

Contact Information

Practice Location

600 S Paulina St, Chicago, IL 60612-3806

(312) 942-7100

Unlisted Fax

Mailing Location

600 S Paulina St, Chicago, IL 60612-3806

(312) 942-7100

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 1242914 Illinois

Ellery Gronski

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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