Individual provider Active NPI

Elizabeth Sita, M.D.

  • Psychiatry Physician
  • Hoffman Estates, IL
National Provider Identifier
1093132284
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036141634 Issued in IL
Practice address
1786 Moon Lake Blvd Ste 104
Hoffman Estates, IL 60169
Phone
(847) 755-8090
NPI assigned
Mar 25, 2014
Last updated
Aug 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036141634 IL Primary

Addresses

Primary practice location

1786 Moon Lake Blvd Ste 104
Hoffman Estates, IL 60169

Mailing address

1786 Moon Lake Blvd Ste 104
Hoffman Estates, IL 60169-1016
Phone (847) 755-8090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180904001954 IL Practitioner - Psychiatry 2860797925

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Northwestern University Feinberg Medical School, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2601 Navistar Dr
Lisle, IL 60532-3661

2830 Dempster St W TWR
Suite 240
Des Plaines, IL 60016-3661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036141634ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Healthcare Services Current Accepting new patients

Locations

62311 Collection Ctr Dr
Chicago, IL 60693

1650 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (800) 432-5005

Interoperability endpoints

  • Direct secure messaging: elizabeth.sita.1@15182.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1093132284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1786 MOON LAKE BLVD STE 104",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691016",
            "telephone_number": "847-755-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1786 MOON LAKE BLVD STE 104",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "60169",
            "telephone_number": "847-755-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITA",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036141634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.