Elizabeth Jones Schaub, N.P.
Individual provider Active NPI Gerontology Nurse Practitioner · East Dundee, IL
NPI 1922100239 · NPPES record last updated Jun 28, 2021
Key facts
- NPI
- 1922100239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- 209003278 (IL)
- Practice address
- 514 Regan Dr
East Dundee, IL 60118-3027 - Phone
- (312) 213-7771
- Fax
- (708) 202-4661
- NPI assigned
- Sep 5, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120416000352 | IL | Order and Referring Only - Nurse Practitioner | 0547421737 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209003278 | IL | MD | Gerontology Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 209003278 | IL | Yes |
Addresses
Primary practice location
514 Regan Dr
East Dundee, IL 60118-3027
Mailing address
514 Regan Dr
East Dundee, IL 60118-3027
Other practice location 1
5TH and Roosevelt Rd
Hines, IL 60141
Phone (708) 202-2592
Other names
- Mrs. Elizabeth J Bernstein
Other providers in East Dundee, IL
- Danielle Ryan
- Safeway Inc
- Karina Sanchez-Collazo
- Tricia Saviano
- Jeanette Schafer
- Kristin Sears
- Pranavkumar Pradyuman Shroff
- Jamie Sonnenberg
- Timothy John Tamas
- Janine Tanner
All providers in East Dundee, IL · Gerontology Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.