TOMAS NEMICKAS


Address: 350 S Greenleaf St, Suite 405, Gurnee, IL 60031-5709
Phone: 8473363335

TOMAS NEMICKAS (NPI# 1124073838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124073838
Entity Type Individual
Full Name TOMAS NEMICKAS
Credential MD
Practice Address 350 S Greenleaf St
Suite 405
Gurnee
IL 60031-5709
Mailing Address 900 Rand Rd Ste 300
Attn: Raquel Leon
Des Plaines
IL 60016-2359
Practice Telephone 8473363335
Mailing Telephone 8473243976
Enumeration Date 2006-05-23
Last Update Date 2013-01-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207X00000X Orthopaedic Surgery 036-095330 IL Allopathic & Osteopathic Physicians
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
036-095330 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036-095330 05

Office Location

Street Address 350 S GREENLEAF ST
SUITE 405
City GURNEE
State IL
Zip Code 60031-5709

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396797270 Edward Logue Orthopaedic Surgery 350 S Greenleaf St, Suite 405, Gurnee, IL 60031-5709 2006-05-17
1003340753 Brenden Frank Physical Therapist 350 S Greenleaf St, Suite 403, Gurnee, IL 60031-5709 2017-04-19
1053855031 Miriam Negru Physical Therapy Assistant 350 S Greenleaf St, Suite 403, Gurnee, IL 60031-5709 2016-12-12
1255886131 Irina Timoshevskaya Physician Assistant 350 S Greenleaf St, Suite 405, Gurnee, IL 60031-5709 2016-08-19
1821445404 Mareen Itty Occupational Therapist 350 S Greenleaf St, Suite 403, Gurnee, IL 60031-5709 2016-05-24
1952779696 Haley Walton Physician Assistant 350 S Greenleaf St, Suite 405, Gurnee, IL 60031-5709 2015-09-11
1043619174 Cheryl Oommen Occupational Therapist 350 S Greenleaf St, Suite 403, Gurnee, IL 60031-5709 2014-08-14
1457762445 Henry Deters Physical Therapist 350 S Greenleaf St, Suite 403, Gurnee, IL 60031-5709 2014-05-13
1184069270 Jessica Weiland Occupational Therapist 350 S Greenleaf St, Suite 403, Gurnee, IL 60031-5709 2013-05-03
1467702159 Elina Abugov Occupational Therapist 350 S Greenleaf St, Suite 403, Gurnee, IL 60031-5709 2012-09-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881174720 Rockelle Waggoner Behavioral Analyst 489 Tanglewood Dr, Gurnee, IL 60031 2018-08-20
1316434376 Lake County Internal Medicine Assoc LLC Non-Pharmacy Dispensing Site 15 Tower Ct., Ste 190, Gurnee, IL 60031 2018-04-16
1588163364 Advanced Endodontics, PC Dentist 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 2018-02-07
1578081550 Northshore Medical Consultants, Ltd Family Medicine 1425 Hunt Club Rd. #302, Gurnee, IL 60031 2017-08-30
1336678739 Sarah Beth Fugelseth Nurse Practitioner 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 2017-06-08
1174079867 Lifecarepros, LLC In Home Supportive Care 223 North Route 21, Gurnee, IL 60031 2016-09-01
1740733195 Ryan Lee Winslow Chiropractor 6021 Washington St, Unit B, Gurnee, IL 60031 2016-08-02
1891129599 Smart Scan Mri, LLC Clinic/Center 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 2013-08-29
1568720076 Yudelca Romano Genetic Counselor, MS 1125 Tri State Parkway, Gurnee, IL 60031 2012-05-03
1558637348 Laura E Novak Social Worker 4212 Old Grand Avenue, Gurnne, IL 60031 2012-03-27
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063048395 Dr Ouilife LLC Orthopaedic Surgery 640 S Federal St Apt 410, Chicago, IL 60605-1800 2020-03-18
1316437890 Darcy L Marr Orthopaedic Surgery 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 2018-05-10
1568851251 Benjamin Scott Kester Orthopaedic Surgery 1725 W Harrison St Ste Rush, Chicago, IL 60612-3841 2015-01-18
1609041565 Sheryl Lynn Lipnick Orthopaedic Surgery 1585 N. Barrington Rd Ste 101, Drs. Bldg. 2, Hoffman Estates, IL 60169-5019 2008-04-22
1295937555 Gregory Lamar Primus Orthopaedic Surgery 7543 183rd St, Tinley Park, IL 60477-6208 2007-05-31
1154454635 Benjamin Domb Orthopaedic Surgery 999 E Touhy Ave Ste 450, Des Plaines, IL 60018-2748 2007-03-13
1518981612 Sean Daniel Odell Orthopaedic Surgery 375 S Roselle Rd, Schaumburg, IL 60193-5544 2006-07-26
1568419463 Mark K. Bowen Orthopaedic Surgery 680 N Lake Shore Dr Ste 924, Chicago, IL 60611 2006-05-27
1639146103 Jean Benoit Houle Orthopaedic Surgery 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 2006-03-03
1093792277 Scott Eric Urch Orthopaedic Surgery 503 E Grant St, Macomb, IL 61455-3313 2005-12-28
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Competitor

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City GURNEE
Zip Code 60031

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Dataset Information

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.

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