DR. MICHAEL VERCILLO (NPI# 1598911505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598911505 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL VERCILLO |
| Credential | M.D. |
| Practice Address |
1700 Luther Ln Suite 1110 Park Ridge IL 60068-1270 |
| Practice Telephone | 8477231550 |
| Practice Fax Number | 8477231551 |
| Mailing Telephone | 8477231550 |
| Mailing Fax Number | 8477231551 |
| Enumeration Date | 2008-08-10 |
| Last Update Date | 2017-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 036.130263 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376767723 | Michael T. Vercillo | Orthopaedic Surgery | 375 Rolling Oaks Dr, Suite 200, Thousand Oaks, CA 91361-1023 | 2007-04-13 |
| Street Address |
1700 LUTHER LN SUITE 1110 |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-1270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043201072 | Tanya M Powell | Radiology | 1700 Luther Ln, Park Ridge, IL 60068-1270 | 2005-10-31 |
| 1528523057 | Justin Wing Hang Lee | Physician Assistant | 1700 Luther Ln, Park Ridge, IL 60068-1270 | 2019-02-08 |
| 1194110668 | Joanna Pienkowski Polk | Social Worker | 1700 Luther Ln, Suite 1110, Park Ridge, IL 60068-1270 | 2015-04-01 |
| 1831488741 | Shams Bakhos Bufalino | Internal Medicine | 1700 Luther Ln, Park Ridge, IL 60068-1270 | 2011-03-31 |
| 1093029217 | A2cl Services, LLC | Clinical Medical Laboratory | 1700 Luther Ln, Suite 1260, Park Ridge, IL 60068-1270 | 2010-07-29 |
| 1962667808 | Heather E Leeper | Psychiatry & Neurology | 1700 Luther Ln, Ste 1110, Park Ridge, IL 60068-1270 | 2008-07-21 |
| 1548442007 | Edward Samuel James | Internal Medicine | 1700 Luther Ln, Suite 2200, Park Ridge, IL 60068-1270 | 2007-11-27 |
| 1689794968 | Oncology Specialists, Sc | Internal Medicine | 1700 Luther Ln, Park Ridge, IL 60068-1270 | 2007-03-30 |
| 1891824314 | Mary Susan Warsey | Pharmacist | 1700 Luther Ln, Park Ridge, IL 60068-1270 | 2007-03-02 |
| 1104961473 | Ed Drew O'hara | Social Worker | 1700 Luther Ln, Park Ridge, IL 60068-1270 | 2007-02-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376657643 | Jonathan Somers | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1875 W Dempster St Ste 520, Park Ridge, IL 60068-1130 | 2006-08-17 |
| 1053312561 | Janice R. Klich | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1600 W Dempster St, Suite 120, Park Ridge, IL 60068-1109 | 2005-08-09 |
| 1801897434 | Lake Cook Surgical Associates PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1600 Dempster St, Suite 102, Park Ridge, IL 60068-1109 | 2005-08-04 |
| 1225039738 | Axel W. Joob | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1600 W Dempster St, Suite 102, Park Ridge, IL 60068-1109 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205363041 | Sachowdhry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 S Summit Ave, Oakbrook Terrace, IL 60181-2212 | 2017-05-11 |
| 1760930028 | Hiroto Kitahara | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5841 S. Maryland Avenue M/c6040, Chicago, IL 60637 | 2016-09-15 |
| 1720440282 | Azad Karim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 441 E Erie St Apt 1803441, Chicago, IL 60611-4446 | 2016-03-24 |
| 1982002838 | Milton Weinberg Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 983 Kirkhill Ln, Lake Forest, IL 60045-4209 | 2014-12-09 |
| 1235557190 | Bartlomiej Imielski | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 201 E. Huron St., Galter 11-140, Chicago, IL 60611 | 2014-03-28 |
| 1841635869 | Aaron Maxwell Kime | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 133 E Brush Hill Rd Ste 200, Elmhurst, IL 60126-5661 | 2013-05-03 |
| 1952744823 | Walter Lee Barker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2912 N. Commonwealth Ave., #11c, Chicago, IL 60657-6235 | 2013-04-10 |
| 1952641649 | Willard A Fry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1500 Sheridan Rd, #10e, Wilmette, IL 60091-1873 | 2013-02-18 |
| 1487903092 | Horizons In Healthcare LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 372 Red Bud Ct., Frankfort, IL 60423-2128 | 2012-08-29 |
| 1518215284 | Paul Naffah | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6161 So County Line Rd, Burr Ridge, IL 60527 | 2012-08-28 |
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| City | PARK RIDGE |
| Zip Code | 60068 |
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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.