AGATA OCZKO DANGUILAN MD SC (NPI# 1114076791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114076791 |
Entity Type | Organization |
Organization Name | AGATA OCZKO DANGUILAN MD SC |
Practice Address |
2 E Rollins Rd Suite 204 Round Lake Beach IL 60073-3808 |
Practice Telephone | 8475465600 |
Practice Fax Number | 8475465603 |
Mailing Telephone | 8475465600 |
Mailing Fax Number | 8475465603 |
Enumeration Date | 2007-01-10 |
Last Update Date | 2007-11-19 |
Authorized Official Name | AGATA OCZKO-DANGUILAN (PRESIDENT) |
Authorized Official Telephone | 8475465600 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
IL | Ambulatory Health Care Facilities |
Street Address |
2 E ROLLINS RD SUITE 204 |
City | ROUND LAKE BEACH |
State | IL |
Zip Code | 60073-3808 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356448542 | Lake County Acute Care, LLP | Internal Medicine | 2 E Rollins Rd, Round Lake Beach, IL 60073-3808 | 2006-09-20 |
1700285079 | Rachel Samantha Goldberg | Dentist | 2 E Rollins Rd, Suite 202, Round Lake Beach, IL 60073-3808 | 2014-08-22 |
1861513822 | Round Lake Medical Suites | Clinic/Center | 2 E Rollins Rd, Suite 108, Round Lake Beach, IL 60073-3808 | 2007-04-03 |
1457415945 | Rebecca Walker Muir Schultz | Physical Therapist | 2 E Rollins Rd, Suite 106, Round Lake Beach, IL 60073 | 2006-12-20 |
1285701714 | Agata Oczko-danguilan | Internal Medicine | 2 E Rollins Rd, Suite 204, Round Lake Beach, IL 60073-3808 | 2006-11-29 |
1487734703 | Michael Siegel | Dentist | 2 E Rollins Rd, Suite 202, Round Lake Beach, IL 60073-3808 | 2006-10-17 |
1235219551 | Stephen T Reilly | Dentist | 2 E Rollins Rd, Round Lake Beach, IL 60073-3808 | 2006-10-17 |
1922193028 | Ermil Wagner | Family Medicine | 2 E Rollins Rd, Suite 103, Round Lake Beach, IL 60073-3808 | 2006-10-04 |
1295820314 | Ermil Wagner, D.o. P.C. | Family Medicine | 2 E Rollins Rd, Suite 103, Round Lake Beach, IL 60073-3808 | 2006-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609477280 | Marlene A Espinosa | Pharmacist | 2680 N, Il 83, Round Lake Beach, IL 60073 | 2020-11-02 |
1225637614 | Sharice Ellenwood | Counselor | 1087 N Village Dr, Round Lake Beach, IL 60073 | 2020-10-18 |
1013521301 | Self Connected Therapy LLC | Clinic/Center | 2189 N. Rt. 83, #292, Round Lake Beach, IL 60073 | 2020-09-03 |
1538710900 | Mykola Rudyk | Dentist | 425 N Wilson Rd, Round Lake, IL 60073 | 2019-09-26 |
1205344173 | Shamari Mentoring Company | Counselor | 1020 W Rollins Rd, Rould Lake Heights, IL 60073 | 2018-01-13 |
1770007007 | Mary Burnett | Physical Therapy Assistant | 512 S Jade Lane, Round Lake, IL 60073 | 2017-07-28 |
1881055549 | Irina Akimova | Community Health Worker | 715 W. Judd Street, Woodstock, IL 60073 | 2016-03-09 |
1487051751 | Lawrence Scire | Specialist | 800 High School Drive, Round Lake, IL 60073 | 2014-12-02 |
1659778090 | Giacchino James Lech II | Specialist/Technologist | 609 S Jade Ln, Round Lake, IL 60073 | 2014-12-01 |
1407265283 | Linda Lee Eaton | Massage Therapist | 650 S Curran Road, Round Lake, IL 60073 | 2014-08-06 |
Find all providers in zip 60073 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033724901 | Ar Healthcare | Clinic/Center | 11 E Main St Ste A, St Charles, IL 60174-1925 | 2020-09-08 |
1568073674 | Downers Grove Immediate Care Inc. | Clinic/Center | 425 Ogden Ave, Downers Grove, IL 60515-3066 | 2020-08-12 |
1538792221 | Greenbax Health Solutions, LLC | Clinic/Center | 4922 W Chicago Ave, Chicago, IL 60651-3142 | 2020-02-20 |
1548808728 | Unitypoint Health At Work | Clinic/Center | 1100 13th Ave, East Moline, IL 61244-1455 | 2019-12-18 |
1265076749 | Inhome Primecare LLC | Clinic/Center | 6738 N Lockwood Ave, Lincolnwood, IL 60712-3107 | 2019-10-29 |
1033760780 | Careatc | Clinic/Center | 600 S Michigan Ave # 402, Chicago, IL 60605-1900 | 2019-09-24 |
1356814503 | Thompson Medical Incorporated | Clinic/Center | 933 E Hyde Park Blvd Ste G, Chicago, IL 60615-2722 | 2019-01-09 |
1598248106 | Granite City Clinic Corp | Clinic/Center | 602 Farrish St, Madison, IL 62060-1567 | 2018-09-10 |
1497251037 | Thomas L Pitts, Md LLC | Clinic/Center | 233 E Erie St Ste 702, Chicago, IL 60611-5933 | 2018-04-03 |
1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
Find all providers with the same taxonomy |
City | ROUND LAKE BEACH |
Zip Code | 60073 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.