Organization Active NPI

Elizabeth Anderson, M.D., S.C.

  • Internal Medicine Physician
  • Skokie, IL
National Provider Identifier
1801074810
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ELIZABETH ANDERSON, M.D., S.C.
Practice address
4905 Old Orchard Ctr
St 634
Skokie, IL 60077-1425
Phone
(847) 679-5120
Fax
(847) 679-5122
NPI assigned
Feb 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Karen H
Title
Office MGR
Phone
(847) 679-5120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4905 Old Orchard Ctr
St 634
Skokie, IL 60077-1425

Mailing address

4905 Old Orchard Ctr
St 634
Skokie, IL 60077-1425
Phone (847) 679-5120

National Provider Directory

National Provider Directory

Locations

517 4th St
Wilmette, IL 60091
Phone (842) 251-5120

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1801074810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 OLD ORCHARD CTR",
            "address_2": "ST 634",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771425",
            "telephone_number": "847-679-5120",
            "fax_number": "847-679-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 OLD ORCHARD CTR",
            "address_2": "ST 634",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771425",
            "telephone_number": "847-679-5120",
            "fax_number": "847-679-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH ANDERSON, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "H",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "847-679-5120"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.