Vinise Elackattu, PA
Surgical PA · Libertyville, IL
UnclaimedPANPI 1922729714
- Primary taxonomy
- 363AS0400X
- Enumerated
- 2022-09-08
- Practice location
- Libertyville, IL
- Last NPPES update
- 2025-04-22
State licenses
- IL · Physician assistant · LICENSED PHYSICIAN ASSISTANTActivethrough 2028
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.