RONALD DEWALD (NPI# 1194274530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194274530 |
| Entity Type | Individual |
| Full Name | RONALD DEWALD |
| Credential | MD |
| Practice Address |
1645 W Broadland Ln Lake Forest IL 60045-4813 |
| Practice Telephone | 8472345841 |
| Practice Fax Number | 8472345919 |
| Mailing Telephone | 8472345841 |
| Mailing Fax Number | 8472345919 |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 036.036945 | IL | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
036.036945 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1645 W BROADLAND LN |
| City | LAKE FOREST |
| State | IL |
| Zip Code | 60045-4813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851931109 | Spine & Wellness Clinic, Inc. | Chiropractor | 775 N Bank Lane Suite 101, Lake Forest, IL 60045 | 2020-01-14 |
| 1184278640 | Mary Belluomini Dipietro | Dietitian, Registered | 1000 North Westmoreland Rd., Lake Forest, IL 60045 | 2019-08-01 |
| 1336621747 | Brook Elizabeth Orvis | Physical Therapist | 1000 N Westmoreland Road, 2nd Floor, Pavilion B, Lake Forest, IL 60045 | 2018-08-31 |
| 1336621028 | Michelle Nebel | Audiologist | 225 East Deerpath, Suite 223, Lake Forest, IL 60045 | 2018-08-30 |
| 1467951731 | Devan Keesling | Audiologist | 800 N Westmoreland Rd Ste Ll30, Lake Forest, IL 60045 | 2018-02-01 |
| 1023516796 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Westmoreland Rd Ste A, Lake Forest, IL 60045 | 2018-01-29 |
| 1275056780 | Karen Elizabeth Cohen | Counselor | 1331 S. Estate Lane, Lake Forest, IL 60045 | 2017-07-18 |
| 1497281711 | Caroline Connors | Speech-Language Pathologist | 660 Westmoreland Road, Lake Forest, IL 60045 | 2017-05-05 |
| 1013453406 | Katie L Konopacz | Nurse Practitioner | 1000 N Westmoreland Rd # B, Lake Forest, IL 60045 | 2017-01-10 |
| 1225424575 | Sean Robert Wessel | Internal Medicine | 1000 N Westmoreland Rd Ste 3556, Lake Forest, IL 60045 | 2015-04-14 |
| Find all providers in zip 60045 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093213365 | Joint Replacement Cin of Chicago LLC | Orthopaedic Surgery | 1900 E Golf Rd Ste 950b, Schaumburg, IL 60173-5834 | 2018-01-31 |
| 1063920940 | Spine Cin of Chicago LLC | Orthopaedic Surgery | 1900 E Golf Rd Ste 950a, Schaumburg, IL 60173-5034 | 2018-01-13 |
| 1851819221 | Bernard Rerri | Orthopaedic Surgery | 938 M L King Dr, Centralia, IL 62801-3058 | 2017-09-06 |
| 1932572872 | Egyptian Spine Clinic | Orthopaedic Surgery | 1007 M L King Dr, Centralia, IL 62801-3001 | 2015-10-31 |
| 1073873675 | Joseph Patrick Brindise | Orthopaedic Surgery | 500 W Golf Rd Ste 101, Schaumburg, IL 60195-3503 | 2012-05-17 |
| 1861785354 | Prairie Spine & Pain Institute of Southern Illinois, LLC | Orthopaedic Surgery | 1306 N Russell St, Marion, IL 62959-4570 | 2011-05-17 |
| 1760626717 | Anthony S Rinella M D S C | Orthopaedic Surgery | 12701 W. 143rd Street, Suite 110, Homer Glen, IL 60491-7721 | 2009-04-21 |
| 1265602965 | Brandy Arnett | Orthopaedic Surgery | 800 Biesterfield Rd Ste 565, Eberle Prof Bldg, Elk Grove, IL 60007-3362 | 2008-03-10 |
| 1609940972 | Giri T Gireesan | Orthopaedic Surgery | 676 North St Clair St, #1777, Chicago, IL 60611 | 2006-11-20 |
| 1700981107 | Carl N Graf IIi | Orthopaedic Surgery | 1990 E Algonquin Road, Suite 160, Schaumburg, IL 60173 | 2006-09-13 |
| Find all providers with the same taxonomy | ||||
| City | LAKE FOREST |
| Zip Code | 60045 |
Please comment or provide details below to improve the information on RONALD DEWALD.
| 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.