MISS ANCA IOANA ZEGREAN (NPI# 1508009416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508009416 |
Entity Type | Individual |
Full Name | MISS ANCA IOANA ZEGREAN |
Credential | M.D. |
Practice Address |
1272 American Way Libertyville IL 60048-3936 |
Mailing Address |
210 S Desplaines St Chicago IL 60661-5500 |
Practice Telephone | 8475497222 |
Practice Fax Number | 8475497260 |
Mailing Telephone | 3126542720 |
Enumeration Date | 2009-04-08 |
Last Update Date | 2017-04-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 25268 | WV | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | MEDICARE PTAN | WV2871A | 01 |
WV | GROUP ORGANIZATION MEDICAID NUMBER | 4000438000 | 01 |
WV | 3810026117 | 05 | |
WV | GROUP ORGANIZATION NPI | 1295720449 | 01 |
WV | GROUP ORGANIZATION PTAN | RE9310001 | 01 |
Street Address |
1272 AMERICAN WAY |
City | LIBERTYVILLE |
State | IL |
Zip Code | 60048-3936 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548217144 | Joshua Robert Trob | Internal Medicine | 1272 American Way, Libertyville, IL 60048-3936 | 2006-05-28 |
1083933006 | Nephrology Specialists Sc | Internal Medicine | 1272 American Way, Libertyville, IL 60048-3936 | 2010-06-01 |
1548476773 | Maria S. Khan | Internal Medicine | 1272 American Way, Libertyville, IL 60048 | 2007-05-15 |
1851433429 | Jawad Munir | Internal Medicine | 1272 American Way, Libertyville, IL 60048-3936 | 2007-02-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184119950 | Park Avenue Dental Professionals, PC | Dentist | 1001 W. Park Avenue, Libertyville, IL 60048 | 2018-06-25 |
1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
1366943672 | Jackie Rayyan | Behavior Technician | 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 | 2018-02-22 |
1851804850 | Mary E. Linsey | Counselor | 34180 Highway 45, Libertyville, IL 60048 | 2017-11-13 |
1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
1164946471 | Christianna Patterson | Speech-Language Pathologist | 1870 W Winchester Rd #203, Libertyville, IL 60048 | 2017-07-28 |
1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
1396291530 | Karyn Kolner | Physical Therapist | 860 W Winchester Rd, #108, Libertyville, IL 60048 | 2016-08-28 |
1477900785 | Medlogic LLC | Clinic/Center | 114 West Rockland Road, Suite 201, Libertyville, IL 60048 | 2016-05-17 |
1477926343 | Robert Mcnulty | Student in an Organized Health Care Education/Training Program | 1313 Crane Blvd, Libertyville, IL 60048 | 2015-11-02 |
Find all providers in zip 60048 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780938803 | Carla Gorsky | Specialist | 335 Hawthorne Rd, Libertyville, IL 60048-2439 | 2012-10-29 |
1003149766 | Rita Rae Graham | Specialist | 1244 American Way, Libertyville, IL 60048-3936 | 2009-09-14 |
1437329455 | Neil D. Pollock, M.d. S.c. | Specialist | 890 Garfield Ave Ste 106, Libertyville, IL 60048-3100 | 2008-03-05 |
1922122662 | Septon Dermatology Associates, LLC | Specialist | 755 S Milwaukee Ave Ste 224, Libertyville, IL 60048-3266 | 2007-03-19 |
1376629006 | Park Rheumatology, LLC | Specialist | 1800 Hollister Dr Ste 102, Libertyville, IL 60048-5265 | 2006-10-27 |
1104828102 | Sara R Vegh | Specialist | 1880 W Winchester Rd, Suite 105, Libertyville, IL 60048 | 2005-08-10 |
1508018136 | Jennifer Lauren Burkhart | Specialist | 205 W Maple Ave, Libertyville, IL 60048-2137 | 2008-10-14 |
1811166978 | Sara Vegh, M.d., S.c. | Specialist | 1880 W Winchester Rd, Suite 105, Libertyville, IL 60048-5341 | 2008-02-22 |
1073706685 | Thomas H Burnstine, M.d.,s.c. | Specialist | 755 S Milwaukee Ave, Suite 220, Libertyville, IL 60048-3253 | 2007-08-27 |
1699966135 | Amy Zier & Megan Carrick Pediatric Therapy, LLC | Specialist | 1870 W Winchester Rd, Unit 243, Libertyville, IL 60048-5358 | 2007-08-08 |
Find all providers in LIBERTYVILLE |
City | LIBERTYVILLE |
Zip Code | 60048 |
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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.