THOMAS A. LUTZ (NPI# 1174623664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174623664 |
| Entity Type | Individual |
| Full Name | THOMAS A. LUTZ |
| Credential | MD |
| Practice Address |
1670 Capital St Ste 500 Elgin IL 60124 |
| Mailing Address |
1670 Capital St Ste 500 Elgin IL 60124-8079 |
| Practice Telephone | 8474689900 |
| Practice Fax Number | 8474689901 |
| Mailing Telephone | 8474689900 |
| Mailing Fax Number | 8474689901 |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2018-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 61085-20 | WI | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 036112147 | IL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 35087011 | OH | Allopathic & Osteopathic Physicians |
| Y | 202K00000X | Phlebology | 036112147 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE RAILROAD PTAN | P00480520 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 795 Ela Rd Ste 115, Lake Zurich, IL 600476307 | 8475504984 | 8478477289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578852984 | Thomas Lutz | Dentist | 8381 Piney Orchard Pkwy, Odenton, MD 21113-1539 | 2011-04-06 |
| 1063725166 | Thomas Robert Lutz | Psychologist | 1125 Ramsey St, Hastings, MN 55033-2811 | 2010-07-17 |
| 1417142829 | Thomas Wright Lutz | General Practice | 6443 E El Sendero, Carefree, AZ 85377-2521 | 2007-09-10 |
| 1740248095 | Thomas Allen Lutz | Optometrist | 2200 Gage Blvd, Topeka, KS 66622-0001 | 2006-05-03 |
| 1154312221 | Thomas William Lutz | Internal Medicine | 4300 B St Ste 200, Anchorage, AK 99503-5933 | 2005-10-28 |
| 1679909139 | Thomas Edward Lutz | Counselor | 3765 S Higuera St, Suite 100, San Luis Obispo, CA 93401-1570 | 2013-09-16 |
| 1104825306 | Thomas Lutz | Internal Medicine | 535 Main St, Olean, NY 14760-1513 | 2005-07-19 |
| Street Address |
1670 CAPITAL ST STE 500 |
| City | ELGIN |
| State | IL |
| Zip Code | 60124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124544978 | Kathleen Malinis | Registered Nurse | 2400 Big Timber Road, Elgin, IL 60124 | 2017-08-14 |
| 1538681671 | Josephina Pilolli | Nurse Practitioner | 2490 Bushwood Dr, Unit F, Elgin, IL 60124 | 2017-07-11 |
| 1962858761 | Alex Torres | Specialist/Technologist | 2485 College Green Drive, Elgin, IL 60124 | 2016-05-11 |
| 1033588322 | Ph Elgin, LLC | Skilled Nursing Facility | 1754 Capital Street, Elgin, IL 60124 | 2015-09-17 |
| 1104215441 | Joseph Russo | Physical Therapist | 41w 470 Silvana Dr., Elgin, IL 60124 | 2015-01-09 |
| 1871928838 | Tiffany Lang | Behavioral Analyst | 3522 Hopewell Place, Elgin, IL 60124 | 2013-09-10 |
| 1376851386 | Angela Marie Stastny | Dietitian, Registered | 42w794 Mcdonald Rd, Campton Hills, IL 60124 | 2010-09-24 |
| 1598088726 | Shelly A. Pearson | Physical Therapist | 3051 Longcommon Parkway, Elgin, IL 60124 | 2010-03-02 |
| 1437282027 | Susan Ann Blocker | Speech-Language Pathologist | 3106 Kyra Ln, Elgin, IL 60124 | 2007-03-13 |
| 1134286057 | Siri Chanthasalo | Dentist | 3091 W. Route 20, #103, Elgin, IL 60124 | 2007-01-02 |
| Find all providers in zip 60124 | ||||
| Taxonomy Code | 202K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Phlebology |
| Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism. |
| Notes: Source: American College of Phlebology 12/2006. www.phelbology.org [1/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: Training Programs, Fellowships, and/or Preceptorships: Certification exam is being established by the American Board of Phlebology. ACGME Accredited Residency Program Requirements: None |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154602043 | Mvc-chicago, S.c. | Phlebology | 680 N Lake Shore Dr Suite 104, Chicago, IL 60673-1050 | 2011-09-06 |
| 1053511840 | Sw Suburban - Midwest Vascular Center, S. C. | Phlebology | 10755 W 143rd St, Orland Park, IL 60462-1900 | 2007-07-20 |
| 1447343090 | Chicago Vein Institute S.c. | Phlebology | 4906 N. Western Ave., Suite 2, Chicago, IL 60625 | 2006-10-02 |
| 1194751156 | Kathryn Sue Bohn | Phlebology | 3302 Gerig Dr, Suite 100, Bloomington, IL 61704-6365 | 2006-06-23 |
| 1154378040 | Illinois Phlebology Associates Sc | Phlebology | 14225 S 95th Ave Ste 455, Orland Park, IL 60462-2266 | 2006-05-27 |
| 1457311524 | Stephen Carl Sorenson | Phlebology | 795 Ela Rd Ste 115, Lake Zurich, IL 60047 | 2006-03-24 |
| 1396728978 | Peter Brukasz | Phlebology | 10510 S Roberts Rd, Palos Hills, IL 60465-1934 | 2005-11-28 |
| 1619412574 | The Institute for Vein Health LLC | Phlebology | 10510 S Roberts Rd, Palos Hills, IL 60465-1934 | 2017-01-03 |
| 1457711269 | Lake County Vein Specialists, Sc | Phlebology | 1425 N Hunt Club Rd, Suite 202, Gurnee, IL 60031-2632 | 2016-03-07 |
| 1255603247 | Grand Vein Specialists LLC | Phlebology | 1508 Grand Ave, Waukegan, IL 60085-3653 | 2012-02-06 |
| Find all providers with the same taxonomy | ||||
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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.