Individual provider Active NPI

Elisabeth Layton, PA-C

  • Physician Assistant
  • Hanover Park, IL
National Provider Identifier
1750114310
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085010564 Issued in IL
Practice address
1515 E Lake St
Hanover Park, IL 60133-4869
Phone
(844) 599-3700
NPI assigned
Aug 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085010564 IL Primary

Addresses

Primary practice location

1515 E Lake St
Hanover Park, IL 60133-4869

Mailing address

1515 E Lake St
Hanover Park, IL 60133-4869

Other practice location 1

135 E Irving Park Rd
Streamwood, IL 60107-2950
Phone (844) 599-3700

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251105000382 IL Order and Referring Only - Physician Assistant 1254821655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085010564ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Family Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: layton.elisabeth.p1@direct.gefcc.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1750114310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E LAKE ST",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601334869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E LAKE ST",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601334869",
            "telephone_number": "844-599-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 E Irving Park Rd",
            "address_purpose": "LOCATION",
            "city": "Streamwood",
            "state": "IL",
            "postal_code": "601072950",
            "country_code": "US",
            "telephone_number": "844-599-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAYTON",
        "first_name": "ELISABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085010564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover Park, IL

Sources for this page

Verify at the official NPI Registry.