Hatfield, Elizabeth A

Hatfield, Elizabeth A is an individual health care provider with primary practice located at 7505 Grand Ave , Gurnee IL 60031-1551. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Hatfield, Elizabeth A can be contacted via phone (847) 245-8448.

Contact Information

Primary practice address
7505 Grand Ave Gurnee IL 60031-1551
Phone: (847) 245-8448
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036068363 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29964 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 29964 Wisconsin

Profile Details

NPI number 1104824085
LBN Legal business name Hatfield, Elizabeth A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Sep 12th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104824085 NPPES
Illinois MEDICAID 036068363

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