Elizabeth Marie Damstetter, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036139876 Issued in IL

Practice address

2350 Ravine Way Ste 400
Glenview, IL 60025-7621

Phone

(847) 400-2542

Fax

(847) 221-6935

NPI assigned

Jun 30, 2010

Last updated

Sep 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Elizabeth Marie Damstetter Sherlock Former name

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

Specialty

Dermatology

Education

University of Iowa, RJ & L Carver College of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edamstetter145076@direct.rush.rush-health.com
• Direct secure messaging: edamstetter4946@direct.neighborhealth.masshiway.net

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.

• Reserve Dermatology & Aesthetics PLLC

  • Dermatology Physician
  • Glenview, IL
  • NPI 1760151542
  Medicare reassignment NPD Authorized official
• Rush University Medical Group

  dba Rush University Internists

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1093819542

  Dermatology

  Medicare reassignment NPD
• Medical Associates of Ebnhc

  • Community Health Clinic/Center
  • East Boston, MA
  • NPI 1255451597
  NPD

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1184935611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 RAVINE WAY STE 400",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257621",
            "telephone_number": "474-002-5428",
            "fax_number": "847-221-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 RAVINE WAY STE 400",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257621",
            "telephone_number": "847-400-2542",
            "fax_number": "847-221-6935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3253 S Harlem Ave",
            "address_2": "Suite 1A",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "IL",
            "postal_code": "604023073",
            "country_code": "US",
            "telephone_number": "262-898-4400",
            "fax_number": "708-788-6884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 S Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606052810",
            "country_code": "US",
            "telephone_number": "312-454-2700",
            "fax_number": "312-454-2701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAMSTETTER",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036139876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DAMSTETTER SHERLOCK",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Kathleen Lobitana Dadios
• Jacqueline D Dafonseca, OTR
• Khaldoun Dalbik, M.D.
• Theodore Damas, D.D.S.
• Valerie K. Damlos, PT
• Tiffany Dang, OD
• Jeffrey Dardenne
• Allison Chase Daul, OTR/L
• Kendal Lynn Daul, CF-SLP
• Brendon Daunhauer

• Dermatology Physician in Glenview, IL
• Providers in Glenview, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.