Individual
DR. ELIZABETH A HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7505 GRAND AVE, GURNEE, IL 60031-1551
(847) 245-8448
Mailing address
7505 GRAND AVE, GURNEE, IL 60031-1551
(847) 245-8448
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036068363
IL
207P00000X
Emergency Medicine Physician
29964
WI
207Q00000X
Family Medicine Physician
Primary
29964
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068363
—
IL
Enumeration date
07/13/2005
Last updated
09/12/2019
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