Individual provider Active NPI

Elizabeth Anderson Anderson Parks, MD

  • Internal Medicine Physician
  • Wilmette, IL
National Provider Identifier
1912940552
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-085280 Issued in IL
Practice address
3612 Lake Ave Unit 2C
Wilmette, IL 60091-1000
Phone
(847) 875-9254
Fax
(847) 221-6924
NPI assigned
Jun 13, 2006
Last updated
Sep 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-085280 IL Primary

Addresses

Primary practice location

3612 Lake Ave Unit 2C
Wilmette, IL 60091-1000

Mailing address

3612 Lake Ave Unit 2C
Wilmette, IL 60091-1000
Phone (847) 875-9254

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
I20050723000084 IL Practitioner - Internal Medicine 7113954025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northeastern Ohio University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

1007 Church St
Suite 100
Evanston, IL 60201-5910
Phone (847) 475-4555

1515 Sheridan Rd
Wilmette, IL 60091-1822
Phone (847) 920-2200

2650 Ridge Ave
Evanston, IL 60201-1700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-085280ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Aug 28, 2019 Accepting new patients
Endeavor Health Medical Group Internal Medicine CurrentSince Aug 28, 2019 Accepting new patients
North Shore Physicians Group, LLC Past Accepting new patients
North Shore Physicians Group, LLC Internal Medicine Past Accepting new patients

Locations

2740 W Foster Ave
Ste 113
Chicago, IL 60625
Phone (773) 293-5300

5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800

9532 Eagle Way
Chicago, IL 60678

1007 Church St
Evanston, IL 60201
Phone (312) 296-4562

1007 Church St
Ste 100
Evanston, IL 60201
Phone (847) 475-4555

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

355 Ridge Ave
Evanston, IL 60202
Phone (847) 316-2329

767 Park Ave W
Ste 120
Highland Park, IL 60035
Phone (847) 432-0300

1515 Sheridan Rd
Ste 31A
Wilmette, IL 60091
Phone (847) 920-2200

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1912940552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 LAKE AVE UNIT 2C",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911000",
            "telephone_number": "847-875-9254",
            "fax_number": "847-221-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 LAKE AVE UNIT 2C",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911000",
            "telephone_number": "847-875-9254",
            "fax_number": "847-221-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON PARKS",
        "first_name": "ELIZABETH",
        "middle_name": "ANDERSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-085280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

Verify at the official NPI Registry.