DR. RONALD DEBRUIN (NPI# 1538258322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538258322 |
| Entity Type | Individual |
| Full Name | DR. RONALD DEBRUIN |
| Credential | M.D. |
| Practice Address |
1800 Hollister Dr Suite G-18 Libertyville IL 60048-5263 |
| Practice Telephone | 8479181462 |
| Practice Fax Number | 8479684311 |
| Mailing Telephone | 8479181462 |
| Mailing Fax Number | 8479684311 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2009-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036042120 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | GROUP PTAN | 202926 | 01 |
| IL | GROUP PTAN | 212545 | 01 |
| IL | 036042120 | 05 | |
| IL | BCBS ID | 4923631 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194803387 | Ronald Scott Debruin | Dentist | 84 Water Tower Rd, Unit #2, Enosburg Falls, VT 05450-6097 | 2006-11-02 |
| Street Address |
1800 HOLLISTER DR SUITE G-18 |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-5263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508862384 | Ronald Lee Freeman | Ophthalmology | 1800 Hollister Dr, Suite 205, Libertyville, IL 60048-3253 | 2005-06-25 |
| 1679957518 | Dana Beth Cohen | Social Worker | 1800 Hollister Dr, Suite 201, Libertyville, IL 60048-5263 | 2015-07-09 |
| 1063833796 | Diane M Bailey Yoder | Counselor | 1800 Hollister Dr, Suite 201, Libertyville, IL 60048-5263 | 2013-12-24 |
| 1053755538 | Jenny M. Siddiqi | Psychologist | 1800 Hollister Dr, Suite 201, Libertyville, IL 60048-5263 | 2013-04-26 |
| 1649583501 | Megan Claire Kawadza | Occupational Therapist | 1800 Hollister Dr, Ste 205, Libertyville, IL 60048-5263 | 2010-07-21 |
| 1417277930 | Erika Lynch | Physician Assistant | 1800 Hollister Dr, Ste 102, Libertyville, IL 60048-5263 | 2010-06-07 |
| 1669625406 | Marisa Maria Kunz | Psychologist | 1800 Hollister Dr, Libertyville, IL 60048-5263 | 2008-10-24 |
| 1720252323 | Elizabeth Ann Cole | Physical Therapist | 1800 Hollister Dr, 205, Libertyville, IL 60048-5263 | 2008-04-15 |
| 1033381140 | Gurnee Radiology Center, LLC | Radiology | 1800 Hollister Dr, Suite G-10, Libertyville, IL 60048-5263 | 2008-03-28 |
| 1477749430 | Elizabeth K Baruffi | Physician Assistant | 1800 Hollister Dr, Suite 102, Libertyville, IL 60048-5263 | 2007-09-23 |
| Find all providers in the same location | ||||
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316261969 | Specialty Diagnostic Services, LLC | Radiology | 114 W Rockland Rd Ste 1, Libertyville, IL 60048-2774 | 2010-03-24 |
| 1801812268 | Sankara R Peruri | Radiology | 801 S Milwaukee Rd, Libertyville, IL 60048-3199 | 2006-07-15 |
| 1376569731 | Jasmina P Oberhaus | Radiology | 801 S Milwaukee Road, Libertyville, IL 60048-3199 | 2006-07-15 |
| 1437109816 | Thomas Mcdowell Anderson | Radiology | 1800 Hollister Drive, Suite G-18, Libertyville, IL 60048-5264 | 2006-05-10 |
| 1427041086 | Libertyville Imaging Associates, Inc | Radiology | 333 Peterson Rd, Suite 230, Libertyville, IL 60048-1085 | 2005-08-29 |
| 1336399716 | Mri of Libertyville LLC | Radiology | 333 Peterson Rd, Libertyville, IL 60048-1085 | 2008-09-23 |
| 1740439009 | Jai Devendra Shah | Radiology | 801 S Milwaukee Ave, Advocate Condell Medical Center - Radiology Department, Libertyville, IL 60048-3204 | 2008-09-11 |
| 1033381140 | Gurnee Radiology Center, LLC | Radiology | 1800 Hollister Dr, Suite G-10, Libertyville, IL 60048-5263 | 2008-03-28 |
| 1760682249 | Bisher Tarabishy | Radiology | 1800 Hollister Dr, Suite G-18, Libertyville, IL 60048-5263 | 2007-07-23 |
| 1174685432 | Beth Anne Sylvester | Radiology | 1800 Hollister Dr, Suite G-18, Libertyville, IL 60048-5263 | 2006-12-14 |
| 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.