Individual provider Active NPI

Elizabeth M Faulconer, MD

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1912072497
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036065141 Issued in IL
Practice address
2626 N Lakeview Ave Apt 3408
Chicago, IL 60614-1827
Phone
(847) 864-1271
Fax
(773) 692-7413
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036065141 IL Primary

Addresses

Primary practice location

2626 N Lakeview Ave Apt 3408
Chicago, IL 60614-1827

Mailing address

2626 N Lakeview Ave Apt 3408
Chicago, IL 60614-1827
Phone (847) 864-1271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 24, 2019 through May 24, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036065141ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Western Maryland Health Services, LLC Past Accepting new patients
Upmc Western Maryland Corporation Psychiatry Past Accepting new patients

Organizations & group practices 2

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1912072497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 N LAKEVIEW AVE APT 3408",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141827",
            "telephone_number": "847-864-1271",
            "fax_number": "773-692-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 N LAKEVIEW AVE APT 3408",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141827",
            "telephone_number": "847-864-1271",
            "fax_number": "773-692-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULCONER",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036065141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.