Elizabeth Badowski, PTA
Individual provider Active NPI Community Health Worker · Buffalo Grove, IL
NPI 1609032812 · NPPES record last updated Aug 6, 2008
Key facts
- NPI
- 1609032812
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- 160002492 (IL)
- Practice address
- 631 Hapsfield LN
#101
Buffalo Grove, IL 60089-4715 - Phone
- (847) 541-9817
- NPI assigned
- Aug 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160002492 | IL | MD | Community Health Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 160002492 | IL | Yes |
Addresses
Primary practice location
631 Hapsfield LN
#101
Buffalo Grove, IL 60089-4715
Mailing address
631 Hapsfield LN
#101
Buffalo Grove, IL 60089-4715
Phone (847) 541-9817
Other providers in Buffalo Grove, IL
- Jennifer J Avila
- Ammara Aziz
- Swapna Babu
- Angeline Babuji
- Back to Function Physical Therapy LLC
- Mariana Baker
- Rhonda Levora Baldwin
- Sharon Elizabeth Balicki
- Andrew Baltazar
- Nelli Ban
All providers in Buffalo Grove, IL · Community Health Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.