ALEKSANDR PODOLSKIY (NPI# 1619922135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619922135 |
| Entity Type | Individual |
| Full Name | ALEKSANDR PODOLSKIY |
| Credential | MD |
| Practice Address |
755 S Milwaukee Ave Suite 164 Libertyville IL 60048 |
| Mailing Address |
Po Box 5979 Buffalo Grove IL 60089-5979 |
| Practice Telephone | 8479180430 |
| Practice Fax Number | 8479187850 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2013-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036111753 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036111753 | 05 |
| Street Address |
755 S MILWAUKEE AVE SUITE 164 |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396744348 | Thomas Norman Porter | Urology | 755 S Milwaukee Ave, Ste 263, Libertyville, IL 60048-3253 | 2005-07-20 |
| 1821463431 | Kidney Care Center Grayslake LLC | Internal Medicine | 755 S Milwaukee Ave, Suite 262, Libertyville, IL 60048-3253 | 2015-12-08 |
| 1588929525 | Opioid Addiction Recovery Services PC | Internal Medicine | 755 S Milwaukee Ave, Suite 210, Libertyville, IL 60048-3253 | 2012-07-05 |
| 1154648798 | Linda Schmeisser | Hearing Instrument Specialist | 755 S Milwaukee Ave, Suite 189, Libertyville, IL 60048-3253 | 2010-04-21 |
| 1104075993 | Rebecca Seymour | Physical Therapist | 755 S Milwaukee Ave, Suite 283, Libertyville, IL 60048-3253 | 2008-09-16 |
| 1558533539 | Ronald L Freeman, M.d., S.c. | Ophthalmology | 755 S Milwaukee Ave, Suite 150, Libertyville, IL 60048-3253 | 2008-03-30 |
| 1912181744 | Hosam Zakariya M.d.,s.c. | Clinic/Center | 755 S Milwaukee Ave, Suite 181, Libertyville, IL 60048-3253 | 2007-12-28 |
| 1053500801 | Thomas N Porter Md Sc | Urology | 755 S Milwaukee Ave, Ste 263, Libertyville, IL 60048-3266 | 2007-10-17 |
| 1073706685 | Thomas H Burnstine, M.d.,s.c. | Specialist | 755 S Milwaukee Ave, Suite 220, Libertyville, IL 60048-3253 | 2007-08-27 |
| 1831391143 | Sharon W Wong Md S.c. | Clinic/Center | 755 S Milwaukee Ave, Suite 220, Libertyville, IL 60048-3253 | 2007-05-31 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922595107 | Dr Zhongs Family Care | Family Medicine | 755 S Milwaukee Ave Ste 175, Libertyville, IL 60048-3281 | 2018-04-13 |
| 1225304322 | Katherine M Blake | Family Medicine | 1860 W Winchester Rd Ste 109, Libertyville, IL 60048-5312 | 2012-03-22 |
| 1508163031 | Waldemar Mysiak Md Sc | Family Medicine | 755 S Milwaukee Ave Ste 261, Libertyville, IL 60048-3266 | 2011-02-18 |
| 1497915391 | Robert Paul Dambrosio | Family Medicine | 1864 Torrey Pkwy, Libertyville, IL 60048-1034 | 2008-06-13 |
| 1306919147 | Dennis Anthony Grollo | Family Medicine | 535 W Park Ave, Libertyville, IL 60048-2600 | 2006-11-17 |
| 1265537393 | George Bernard Elvove | Family Medicine | 1029 W Park Ave, Libertyville, IL 60048-2550 | 2006-09-13 |
| 1477548782 | Daniel Joseph Lynch | Family Medicine | 1850 W Winchester Rd, Suite 220, Libertyville, IL 60048-5355 | 2005-09-13 |
| 1740272988 | William R Greenfield | Family Medicine | 716 S Milwaukee Ave, Libertyville, IL 60048-3225 | 2005-08-15 |
| 1144212382 | William A Martinez | Family Medicine | 1870 W Winchester Rd, Suite 145, Libertyville, IL 60048-5358 | 2005-08-15 |
| 1396742060 | Christopher E.c. Harris | Family Medicine | 303 E Park Ave, Libertyville, IL 60048-2872 | 2005-07-07 |
| Find all providers in LIBERTYVILLE | ||||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
Please comment or provide details below to improve the information on ALEKSANDR PODOLSKIY.
| 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.