Elizabeth A Hatfield, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

29964 Issued in WI

Practice address

7505 Grand Ave
Gurnee, IL 60031-1551

Phone

(847) 245-8448

NPI assigned

Jul 13, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Skilled Facility Health Care Solutions Inc

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1104018423

  IL

  Medicare reassignment NPD
• Amg Illinois LTD

  • Internal Medicine Physician
  • Gurnee, IL
  • NPI 1972741759
  Medicare reassignment
• Palos Emergency Medical Services, LTD

  • Emergency Medicine Physician
  • Palos Heights, IL
  • NPI 1811997885
  NPD (past)
• Inphynet Primary Care Physicians Midwest, S.C.

  • Physician Assistant
  • Fort Wayne, IN
  • NPI 1528090610

  Emergency Medicine

  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1104824085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 GRAND AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311551",
            "telephone_number": "847-245-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 GRAND AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311551",
            "telephone_number": "847-245-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATFIELD",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036068363",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "29964",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "29964",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036068363",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Holland Hansel, AUD, CCC-A
• Nichole Harju, DPT
• Karen Harper, REGISTERED NURSE
• Ruth Harrison
• Ahmed Hashim, MD
• Michael Hawkins
• Hawthorn Behavioral Health LLC
• Hayath Senior Care, LLC
• Whitlee Haymore, DC
• Healthvision Medical Services SC

• Family Medicine Physician in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.