Individual provider Active NPI

Elizabeth Anne Dobler, MD

  • Hospitalist Physician
  • Evanston, IL
National Provider Identifier
1972828002
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036136247 Issued in IL
Practice address
2650 Ridge Ave.
Pediatric Hospitalist
Evanston, IL 60201-1718
Phone
(847) 570-1438
Fax
(847) 984-5619
NPI assigned
Mar 31, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036136247 IL
Hospitalist Physician 208M00000X 036136247 IL Primary

Addresses

Primary practice location

2650 Ridge Ave.
Pediatric Hospitalist
Evanston, IL 60201-1718

Mailing address

2650 Ridge Ave.
Pediatric Hospitalist
Evanston, IL 60201-1718
Phone (847) 570-1438

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address edobler254088@direct.northshore.org

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
I20150211001332 IL Practitioner - Pediatric Medicine 0648592154 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
575HIMDAcupuncturist
036136247ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Oct 11, 2019 Accepting new patients
Swedish Covenant Management Services, Inc CurrentSince Jun 3, 2020 Accepting new patients
Endeavor Health Medical Group Pediatrics CurrentSince Feb 1, 2015 Accepting new patients
Endeavor Health Medical Group CurrentSince Feb 1, 2015 Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Oct 11, 2019 Accepting new patients
Swedish Covenant Management Services, Inc. Pediatrics Current Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients

Locations

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

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

29373 Network Pl
Chicago, IL 60673

9532 Eagle Way
Chicago, IL 60678

5140 N California Ave
Chicago, IL 60625
Phone (773) 275-8811

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

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

Organizations & group practices 7

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": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1972828002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE.",
            "address_2": "PEDIATRIC HOSPITALIST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011718",
            "telephone_number": "847-570-1438",
            "fax_number": "847-984-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE.",
            "address_2": "PEDIATRIC HOSPITALIST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011718",
            "telephone_number": "847-570-1438",
            "fax_number": "847-984-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBLER",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036136247",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036136247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edobler254088@direct.northshore.org",
            "affiliation": "N",
            "address_1": "2650 Ridge Ave.",
            "address_2": "Pediatric Hospitalist",
            "city": "Evanston",
            "state": "IL",
            "country_code": "US",
            "postal_code": "602011718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.