CHARLES LETTVIN (NPI# 1427002344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427002344 |
| Entity Type | Individual |
| Full Name | CHARLES LETTVIN |
| Credential | MD |
| Practice Address |
2101 Waukegan Rd Suite 110 Bannockburn IL 60015-1836 |
| Mailing Address |
900 Rand Rd Ste 300 Attn: Raquel Leon Des Plaines IL 60016-2359 |
| Practice Telephone | 8479149096 |
| Mailing Telephone | 8473243976 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2012-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 036-099131 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036-099131 | 05 |
| Street Address |
2101 WAUKEGAN RD SUITE 110 |
| City | BANNOCKBURN |
| State | IL |
| Zip Code | 60015-1836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558710822 | Northshore Medical Associates | Internal Medicine | 2101 Waukegan Rd, 104, Bannockburn, IL 60015-1836 | 2016-06-08 |
| 1184012460 | Emma Joyce Minx | Chiropractor | 2101 Waukegan Rd, Suite 100, Bannockburn, IL 60015-1836 | 2015-01-08 |
| 1831436625 | Illinois Bone and Joint Institute, LLC | Radiologic Technologist | 2101 Waukegan Rd, Suite 108, Bannockburn, IL 60015-1836 | 2013-01-14 |
| 1669739637 | Carl A Nottoli | Chiropractor | 2101 Waukegan Rd, Suite 100, Bannockburn, IL 60015-1836 | 2012-04-16 |
| 1134420011 | Bannockburn Chiropractic & Sports Injury Center PC | Chiropractor | 2101 Waukegan Rd, 100, Bannockburn, IL 60015-1836 | 2010-11-09 |
| 1538474911 | Jacqueline Haave | Physical Therapy Assistant | 2101 Waukegan Rd, Suite 110, Bannockburn, IL 60015-1836 | 2010-08-10 |
| 1154447407 | Brian J Allen | Chiropractor | 2101 Waukegan Rd, Suite 100, Bannockburn, IL 60015-1836 | 2007-03-21 |
| 1326107665 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 2101 Waukegan Rd, Ste 110, Bannockburn, IL 60015-1836 | 2006-12-06 |
| 1528133790 | Stuart Evan Yoss | Chiropractor | 2101 Waukegan Rd, Suite 100, Bannockburn, IL 60015-1836 | 2006-11-22 |
| 1205922432 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 2101 Waukegan Rd, Suite 108, Bannockburn, IL 60015-1836 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467073569 | Steven A Ditgen | Physical Therapist | 43 N. Waukegan Road, Deerfield, IL 60015 | 2020-04-29 |
| 1760017255 | Amanda Barkley | Pharmacist | 200 Wilmont Rd, Deerfield, IL 60015 | 2020-03-05 |
| 1467001487 | Nora Fahmi | Pharmacist | Walgreen Co., 200 Wilmot Road, Deerfield, IL 60015 | 2019-09-11 |
| 1477105187 | Anthony Greis | Obstetrics & Gynecology | 540 Lake Cook Road, Suite 300, Deerfield, IL 60015 | 2019-07-12 |
| 1528628484 | Cynthia Lynne Mckinzie | Psychologist | The Neuroscience Center, 440 Lake Cook Road, Deerfield, IL 60015 | 2019-06-13 |
| 1073084497 | Mary Jeane Jeane Velez | Nurse Practitioner | Brentwood Rehabilitation Center, 3705 Deerfield Rd., Deerfield, IL 60015 | 2018-12-11 |
| 1891264644 | Smile On of North Shore, PC | Dentist | 707 Lake Cook Rd., Suite 121, Deerfield, IL 60015 | 2018-11-21 |
| 1497236376 | Linda Li | Counselor | 15 Parkway North Blvd, Deerfield, IL 60015 | 2018-08-28 |
| 1174009831 | Rachael Michelle Lynn | Physician Assistant | 1302 Hazel Ave, Deerfield, IL 60015 | 2018-07-16 |
| 1730675182 | Alexandra Lee Joseph | Social Worker | 420 Lake Cook Road, Suite 113, Deerfield, IL 60015 | 2018-07-09 |
| Find all providers in zip 60015 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689948770 | Sean Sutphen | Orthopaedic Surgery | 2101 Waukegan Rd Ste 110, Bannockburn, IL 60015 | 2012-03-07 |
| 1548780422 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 2101 Waukegan Rd Ste 108, Bannockburn, IL 60015-1836 | 2017-06-22 |
| 1326107665 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 2101 Waukegan Rd, Ste 110, Bannockburn, IL 60015-1836 | 2006-12-06 |
| 1205922432 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 2101 Waukegan Rd, Suite 108, Bannockburn, IL 60015-1836 | 2006-10-05 |
| 1326153388 | Jonathan S Erulkar | Orthopaedic Surgery | 2101 Waukegan Rd, Suite 110, Bannockburn, IL 60015-1836 | 2006-08-20 |
| 1356396311 | Bryan Waxman | Orthopaedic Surgery | 2101 Waukegan Rd, Suite 110, Bannockburn, IL 60015-1836 | 2006-05-24 |
| 1841245644 | Richard Sherman | Orthopaedic Surgery | 2101 Waukegan Rd, Suite 110, Bannockburn, IL 60015-1836 | 2006-05-23 |
| 1669425864 | Arnold Cohn | Orthopaedic Surgery | 2101 Waukegan Rd, Suite 110, Bannockburn, IL 60015-1836 | 2006-05-18 |
| 1598717555 | Arthur Kroft | Orthopaedic Surgery | 2101 Waukegan Rd, Suite 110, Bannockburn, IL 60015-1836 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834680 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1200 S York St Ste 4110, Elmhurst, IL 60126-5630 | 2020-09-02 |
| 1790303725 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1009 Il Route 22 Ste 2, Fox River Grove, IL 60021-1998 | 2020-07-07 |
| 1104440049 | Elliot M Johns | Orthopaedic Surgery | 301 N 8th St Ste 3a158, Springfield, IL 62701-1085 | 2020-06-06 |
| 1740804764 | David Alan Forgas | Orthopaedic Surgery | 901 N 1st St # D252, Springfield, IL 62702-3759 | 2020-06-05 |
| 1700417185 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 1890 Silver Cross Blvd # A, New Lenox, IL 60451-9524 | 2020-02-04 |
| 1588207799 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 2719 W Algonquin Rd, Algonquin, IL 60102-9400 | 2019-10-21 |
| 1669020848 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 406 Front St Ste 100, Mchenry, IL 60050-5593 | 2019-08-30 |
| 1790342194 | Kevin James Rasuli | Orthopaedic Surgery | 1611 W Harrison St. Ste. 400, Chicago, IL 60612 | 2019-05-22 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| Find all providers with the same taxonomy | ||||
| City | BANNOCKBURN |
| Zip Code | 60015 |
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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.