Individual provider Active NPI

Elizabeth Gwinn, M.D.

  • Surgical Critical Care Physician
  • Chicago, IL
National Provider Identifier
1922254127
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
036-132844 Issued in IL
Practice address
836 W Wellington Ave RM 4813CC
Chicago, IL 60657-5147
Phone
(773) 296-5073
NPI assigned
Aug 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X 036-132844 IL Primary

Addresses

Primary practice location

836 W Wellington Ave RM 4813CC
Chicago, IL 60657-5147

Mailing address

836 W Wellington Ave RM 4813CC
Chicago, IL 60657-5147
Phone (773) 296-5073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20151210001483 IL Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 9436450756 Reassigns benefits to 1 organization
I20210415001558 MI Practitioner - General Surgery 9436450756 Reassigns benefits to 1 organization
I20210728003775 GA Practitioner - General Surgery 9436450756 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-132844ILMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health & Hospitals Corporation CurrentSince Nov 2, 2015 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Nov 2, 2015 Accepting new patients
Skilled Facility Health Care Solutions Inc CurrentSince Mar 15, 2021 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients

Locations

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

2000 Riveredge Pkwy
Ste 885
Sandy Springs, GA 30328
Phone (678) 382-3187

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

836 W Wellington Ave
Chicago, IL 60657
Phone (773) 296-7054

836 W Wellington Ave
Rm 4813CC
Chicago, IL 60657
Phone (773) 296-5073

29373 Network Pl
Chicago, IL 60673

40600 Ann Arbor Rd E
Ste 200
Plymouth, MI 48170

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922254127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 W WELLINGTON AVE RM 4813CC",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575147",
            "telephone_number": "773-296-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 W WELLINGTON AVE RM 4813CC",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575147",
            "telephone_number": "773-296-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWINN",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "IL",
            "license": "036-132844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.