DR. GINA M. MIDMORE (NPI# 1548484629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548484629 |
| Entity Type | Individual |
| Full Name | DR. GINA M. MIDMORE |
| Credential | M.D. |
| Practice Address |
1275 E Belvidere Rd Suite 200 Grayslake IL 60030-2082 |
| Practice Telephone | 8479181462 |
| Practice Fax Number | 8479684311 |
| Mailing Telephone | 8479181462 |
| Mailing Fax Number | 8479684311 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2017-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
01073411A | IN | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
60516-20 | WI | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036-131270 | IL | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD433697 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1021935800002 | 05 |
| Street Address |
1275 E BELVIDERE RD SUITE 200 |
| City | GRAYSLAKE |
| State | IL |
| Zip Code | 60030-2082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699751735 | Alison S Holloway | Family Medicine | 1275 E Belvidere Rd, Suite 250, Grayslake, IL 60030 | 2005-12-20 |
| 1255743209 | Ashley Laufer | Physical Therapist | 1275 E Belvidere Rd, Suite 150, Grayslake, IL 60030-2082 | 2014-05-27 |
| 1174959563 | Elizabeth Modzelwski | Physical Therapy Assistant | 1275 E Belvidere Rd, Suite 150, Grayslake, IL 60030-2082 | 2013-09-18 |
| 1134481070 | Christine Marchinski | Physical Therapist | 1275 E Belvidere Rd, Suite 150, Grayslake, IL 60030-2082 | 2012-06-15 |
| 1366724502 | Michael S Stosich | Dentist | 1275 E Belvidere Rd, Suite 100, Grayslake, IL 60030-2082 | 2011-09-14 |
| 1265661870 | Lisa D Roller | Radiology | 1275 E Belvidere Rd, Suite 200, Grayslake, IL 60030-2082 | 2009-07-06 |
| 1316171465 | Michael L Lester | Radiology | 1275 E Belvidere Rd, Suite 200, Grayslake, IL 60030-2082 | 2009-05-04 |
| 1063678845 | Debra E. Kanter | Radiology | 1275 E Belvidere Rd, Suite 200, Grayslake, IL 60030-2082 | 2008-07-31 |
| 1053583633 | Vaishali S Lafita | Radiology | 1275 E Belvidere Rd, Suite 200, Grayslake, IL 60030-2082 | 2008-03-24 |
| 1497934475 | Wendy Silcox | Radiology | 1275 E Belvidere Rd, Suite 200, Grayslake, IL 60030-2082 | 2007-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393781 | Camelot Care Centers, LLC | Clinic/Center | 34121 North Route 45 Suite 207, Grayslake, IL 60030 | 2020-10-13 |
| 1992347892 | Pier London | Social Worker | 18640 Belivdere Rd., Grayslake, IL 60030 | 2019-10-11 |
| 1972156529 | Elizabeth Reeve | Counselor | 18640 Belvidere, Grayslake, IL 60030 | 2019-07-23 |
| 1144725987 | Michael Kraft | Family Medicine | 1475 E. Belvidere Road, Suite 385, Grayslake, IL 60030 | 2018-03-26 |
| 1255850780 | Megan B March | Speech-Language Pathologist | 33089 N Battershall Rd, Grayslake, IL 60030 | 2017-09-15 |
| 1669992665 | Easy Oxygen Inc. | Durable Medical Equipment & Medical Supplies | 1862 E Belvidere Road #125, Grayslake, IL 60030 | 2017-06-21 |
| 1184163628 | Surprenant Chiropractic LLC | Clinic/Center | 1227 N Illinois Route 83, Suite A, Grayslake, IL 60030 | 2017-02-16 |
| 1700230976 | Camelot Care Centers, LLC. | Foster Care Agency | 34121 North Route 45, Suite 207, Grayslake, IL 60030 | 2016-04-14 |
| 1932560414 | Vital Therapeutics Inc | Physical Therapist | 34121 N Us 45, Suite 101, Grayslake, IL 60030 | 2016-03-11 |
| 1093175804 | Zigma Visiting Physician, LLC | General Practice | 4 N Deer Point Dr, 1002, Hainesville, IL 60030 | 2016-03-07 |
| Find all providers in zip 60030 | ||||
| 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 |
|---|---|---|---|---|
| 1578714044 | Ashley Marie Caleel | Radiology | 1275 E Belvidere Rd Ste 200, Grayslake, IL 60030-2083 | 2008-10-02 |
| 1982851325 | Edward Roland May | Radiology | 18544 Brooke Ave., Grayslake, IL 60030-2506 | 2008-08-27 |
| 1265661870 | Lisa D Roller | Radiology | 1275 E Belvidere Rd, Suite 200, Grayslake, IL 60030-2082 | 2009-07-06 |
| 1316171465 | Michael L Lester | Radiology | 1275 E Belvidere Rd, Suite 200, Grayslake, IL 60030-2082 | 2009-05-04 |
| 1063678845 | Debra E. Kanter | Radiology | 1275 E Belvidere Rd, Suite 200, Grayslake, IL 60030-2082 | 2008-07-31 |
| 1053583633 | Vaishali S Lafita | Radiology | 1275 E Belvidere Rd, Suite 200, Grayslake, IL 60030-2082 | 2008-03-24 |
| 1497934475 | Wendy Silcox | Radiology | 1275 E Belvidere Rd, Suite 200, Grayslake, IL 60030-2082 | 2007-10-26 |
| 1558438861 | Albert Mendelson | Radiology | 1275 E Belvidere Rd, Suite 200, Grayslake, IL 60030-2082 | 2006-11-29 |
| 1417056904 | Charles L Huang | Radiology | 1275 E Belvidere Rd, Suite 200, Grayslake, IL 60030-2082 | 2006-09-21 |
| 1245260629 | Liyuan Yu | Radiology | 1275 E Belvidere Rd, Suite 200, Grayslake, IL 60030-2082 | 2006-07-03 |
| Find all providers in GRAYSLAKE | ||||
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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.