NPIMap

Individual provider Active NPI

Elizabeth Soifer, DO

  • Family Medicine Physician
  • Antioch, IL
National Provider Identifier
1184843328
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036 117032 Issued in IL
Practice address
543 Orchard St
Antioch, IL 60002-3107
Phone
(847) 395-3322
Fax
(847) 395-0921
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036 117032 IL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

543 Orchard St
Antioch, IL 60002-3107

Mailing address

543 Orchard St
Antioch, IL 60002
Phone (847) 395-3322

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elizabethsoifer@orchardmed.allscriptsdirect.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080314000063 IL Practitioner - Family Practice 1557446572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orchard Medical Center SCGroup PAC ID 9133154610, 4 clinicians

Practice addresses (Care Compare)

543 Orchard St
Antioch, IL 60002-3107
Phone 8473953322111

Hospital & facility affiliations

  • Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150
  • Advocate Condell Medical Center Hospital, Libertyville, IL, CCN 140202
  • Vista Medical Center East Hospital, Waukegan, IL, CCN 140084
  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130
  • Froedtert South Inc. Hospital, Kenosha, WI, CCN 520021
  • Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036 117032ILMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: elizabethsoifer@orchardmed.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1184843328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 ORCHARD ST",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "60002",
            "telephone_number": "847-395-3322",
            "fax_number": "847-395-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 ORCHARD ST",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600023107",
            "telephone_number": "847-395-3322",
            "fax_number": "847-395-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOIFER",
        "first_name": "ELIZABETH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036 117032",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabethsoifer@orchardmed.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "543 Orchard St",
            "city": "Antioch",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600023107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Antioch, IL

Sources for this page

Verify at the official NPI Registry.