Individual provider Active NPI

Elizabeth S Nodine, M.D.

  • Family Medicine Physician
  • Waukegan, IL
National Provider Identifier
1346449527
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036098441 Issued in IL
Practice address
3210 Grand Ave
Waukegan, IL 60085-2204
Phone
(847) 220-4103
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036098441 IL Primary

Addresses

Primary practice location

3210 Grand Ave
Waukegan, IL 60085-2204

Mailing address

PO Box 746715
Atlanta, GA 30374-6715
Phone (847) 220-4103

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
I20100312001026 IL Practitioner - Family Practice 6507991759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Wisconsin School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group PCGroup PAC ID 7517109879, 227 clinicians

Practice addresses (Care Compare)

3210 Grand Ave
Waukegan, IL 60085-2204
Phone (847) 220-4103

Hospital & facility affiliations

  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036098441ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Lake CurrentSince Dec 26, 2009 Accepting new patients
County of Lake Current Accepting new patients
County of Lake CurrentSince Dec 26, 2009 Accepting new patients
Oak Street Health Physicians Group, PC CurrentSince Mar 1, 2021 Accepting new patients
Osh-Il Physicians Group LLC Family Medicine PastSince Mar 1, 2021 Accepting new patients

Locations

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

1840 Green Bay Rd
Highland Park, IL 60035
Phone (847) 984-5300

18698 W Peterson Rd
Libertyville, IL 60048
Phone (847) 377-4871

224 W Clarendon Dr
Round Lake Beach, IL 60073
Phone (847) 377-8800

3010 Grand Ave
Fl 3
Waukegan, IL 60085
Phone (847) 377-8298

3012 Grand Ave
Waukegan, IL 60085
Phone (847) 377-8180

3210 Grand Ave
Waukegan, IL 60085
Phone (847) 220-4103

2400 Belvidere Rd
Waukegan, IL 60085
Phone (847) 377-8400

3010 Grand Ave
Waukegan, IL 60085
Phone (847) 377-8296

1911 27th St
Zion, IL 60099
Phone (847) 377-8800

Organizations & group practices 5

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 1

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1346449527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746715",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746715",
            "telephone_number": "847-220-4103",
            "fax_number": "847-693-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 GRAND AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852204",
            "telephone_number": "847-220-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NODINE",
        "first_name": "ELIZABETH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036098441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukegan, IL

Sources for this page

Verify at the official NPI Registry.