DEVON COLLINS GIMBEL (NPI# 1558519454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558519454 |
| Entity Type | Individual |
| Full Name | DEVON COLLINS GIMBEL |
| Credential | MD |
| Practice Address |
28100 N Ashley Cir Ste 106 Libertyville IL 60048-9478 |
| Practice Telephone | 8479961030 |
| Mailing Telephone | 8479961030 |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2019-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
01073424A | IN | Allopathic & Osteopathic Physicians |
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
036.130826 | IL | Allopathic & Osteopathic Physicians |
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
61611-20 | WI | Allopathic & Osteopathic Physicians |
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
246366 | MA | Allopathic & Osteopathic Physicians |
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
036.130826 | IL | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
L-236414 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
28100 N ASHLEY CIR STE 106 |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-9478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538457163 | Pinpoint Md LLC | Clinical Medical Laboratory | 28100 N Ashley Cir, # 104r, Libertyville, IL 60048-9478 | 2011-07-18 |
| 1174762256 | Consolidated Pathology Consultants, Sc | Clinical Medical Laboratory | 28100 N Ashley Cir, Suite 106, Libertyville, IL 60048-9478 | 2009-02-12 |
| 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 | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003270588 | Katrina Krogh | Pathology | 251 E Huron St Ste 7-132i, Chicago, IL 60611-2908 | 2016-04-11 |
| 1316334881 | Ryan Dale Jones | Pathology | 430 W Gartner Rd, Naperville, IL 60540-7517 | 2015-04-22 |
| 1568858934 | Haoliang Xu | Pathology | 251 E Huron St Ste 7-332, Chicago, IL 60611-2908 | 2015-04-12 |
| 1821403569 | Elisheva Douglas Shanes | Pathology | 710 N Fairbanks Ct Ste 2-461, Chicago, IL 60611 | 2014-06-20 |
| 1295154052 | Jeffery Adam Goldstein | Pathology | 303 East Chicago Ave, Ward 3-140 W127, Chicago, IL 60611 | 2014-04-09 |
| 1912340589 | Guangyuan Li | Pathology | 251 E Huron St Ste 7-220, Chicago, IL 60611 | 2013-04-12 |
| 1164742722 | Jennifer Ann Bennett | Pathology | 5841 S Maryland Ave # Mc6101, Chicago, IL 60637-1443 | 2010-06-07 |
| 1588853733 | Martin Gross | Pathology | 5841 S Maryland, Mc 3083, Chicago, IL 60637 | 2007-10-23 |
| 1134342900 | Ashok Vasant Shivde | Pathology | 374 Crestwood Rd, Wood Dale, IL 60191-2547 | 2007-04-10 |
| 1245361708 | Anthony V Thomas | Pathology | 1355 N Mittel Blvd, Wood Dale, IL 60191-1024 | 2007-03-08 |
| Find all providers with the same taxonomy | ||||
| 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.