Individual
MRS. ELIZABETH AIMEE LAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16519 S ROUTE 59, PLAINFIELD, IL 60586-2606
(630) 646-5020
Mailing address
16519 S ROUTE 59, PLAINFIELD, IL 60586-2606
(630) 646-5020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005038
IL
363AM0700X
Medical Physician Assistant
0010-04025
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178UK
BLUE CROSS BLUE SHIELD OF NORTH CAROLINA
NC
05
—
1821335530
—
NC
01
—
NCC447A402
MEDICARE, PTAN
NC
Enumeration date
01/15/2013
Last updated
03/07/2023
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