Individual ProviderLuan EleziFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address32 E 1st St Ste 203, Hinsdale, IL 60521-4288(630) 724-1680PECOS EnrollmentBased on the most recent information from CMS, provider Luan Elezi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1659635092Provider TypeIndividualFull NameElezi, LuanCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date6/29/2012Last Updated7/25/2024Contact InformationPractice LocationPractice Address32 E 1st St Ste 203, Hinsdale, IL 60521-4288Phone(630) 724-1680Fax(630) 724-8735Mailing LocationMailing Address32 E 1st St Ste 203, Hinsdale, IL 60521-4288Phone(630) 724-1680Fax(630) 724-8735Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense036-136456IllinoisCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense125062270IllinoisCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense64214-20Wisconsin