DR. JEFFREY A WASKIN (NPI# 1518283431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518283431 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY A WASKIN |
| Credential | DO |
| Practice Address |
1000 N Westmoreland Rd Lake Forest IL 60045-1658 |
| Practice Telephone | 7245164472 |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2019-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 036146889 | IL | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 036.146889 | IL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | OS016123 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102865216 | 05 | |
| IL | IL LICENSE | 036146889 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 S Front St, Harrisburg, PA 17101 | 7179880000 | 7177825716 |
| Street Address |
1000 N WESTMORELAND RD |
| City | LAKE FOREST |
| State | IL |
| Zip Code | 60045-1658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124025176 | Northwestern Lake Forest Hospital | General Acute Care Hospital | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2005-07-06 |
| 1528676467 | Wendy Sue Tokarz | Registered Nurse | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2020-07-16 |
| 1407479579 | Victoria Nguyen | Registered Nurse | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2020-05-24 |
| 1033739040 | Alexandra Jillayne Giedd | Student in an Organized Health Care Education/Training Program | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2020-04-20 |
| 1144867441 | Brandon Stuart Blackwood | Nurse Practitioner | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2019-12-05 |
| 1619512019 | Robert William Radtke IIi | Physician Assistant | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2019-11-10 |
| 1972145001 | Steffy James | Family Medicine | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2019-10-10 |
| 1720631559 | Brianna Nicole Selimos | Plastic Surgery | 1000 N Westmoreland Rd, Lake Forest, IL 60045 | 2019-07-21 |
| 1679137855 | Sylvia Joanna Wier | Plastic Surgery | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2019-04-23 |
| 1477038347 | Jennifer Nicole Nelson | Nurse Practitioner | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2018-09-26 |
| Find all providers in the same location | ||||
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093920118 | Paul J Krivickas | Emergency Medicine | 1000 N. Westmoreland Rd, Lake Forest, IL 60045 | 2007-05-11 |
| 1659596864 | Lisa Sokol Rome | Emergency Medicine | Northwestern Memorial Hospital Lake Forest, 1000 N. Westmoreland Rd, Lake Forest, IL 60045 | 2007-04-13 |
| 1841276847 | Mark E Mass | Emergency Medicine | 1025 W Everett Rd, Suite 101, Lake Forest, IL 60045-2697 | 2005-12-21 |
| 1326453093 | David Jonathan Kawior | Emergency Medicine | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2014-06-21 |
| 1245593540 | Victoria Catherine Weston | Emergency Medicine | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2012-06-21 |
| 1518288547 | Brian Sellers | Emergency Medicine | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2010-06-14 |
| 1598096190 | Lindsay A Griffin Jin | Emergency Medicine | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2010-01-21 |
| 1306044847 | Peter M Mc Cool | Emergency Medicine | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2007-07-05 |
| 1396773636 | Alan Steven Berman | Emergency Medicine | 22855 Lake Forest Dr Ste A, Lake Forest, CA 92630-1656 | 2006-06-28 |
| 1437105145 | Sattar A Hadi | Emergency Medicine | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2006-05-25 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 60045 |
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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.