MAHESH K AGARWAL MD SC (NPI# 1629065057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629065057 |
| Entity Type | Organization |
| Organization Name | MAHESH K AGARWAL MD SC |
| Practice Address |
200 S Greenleaf St Suite G Gurnee IL 60031-3398 |
| Practice Telephone | 8476625100 |
| Practice Fax Number | 8476625112 |
| Mailing Telephone | 8476625100 |
| Mailing Fax Number | 8476625112 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2010-01-29 |
| Authorized Official Name | DR. MAHESH K AGRAWAL (PRESIDENT) |
| Authorized Official Telephone | 8476625100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
036044722 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036044722 | 05 |
| Street Address |
200 S GREENLEAF ST SUITE G |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-3398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538168620 | Uzoma Okoli | Psychiatry & Neurology | 200 S Greenleaf St, Suite J, Gurnee, IL 60031-3398 | 2005-07-20 |
| 1295247559 | Kelly Mularkey | Physician Assistant | 200 S Greenleaf St, Gurnee, IL 60031-3398 | 2017-10-26 |
| 1891005476 | Frank C Sun Md PC | Obstetrics & Gynecology | 200 S Greenleaf St, Suite L, Gurnee, IL 60031-3398 | 2010-10-15 |
| 1154640571 | Chicago Medical Clinic LLC | Internal Medicine | 200 S Greenleaf St, Suite A, Gurnee, IL 60031-3398 | 2010-05-25 |
| 1356504278 | Lambros Tsonis | Surgery | 200 S Greenleaf St, Suite A, Gurnee, IL 60031-3398 | 2008-07-10 |
| 1902069677 | Eun Sun Paik | Psychiatry & Neurology | 200 S Greenleaf St, Suite A, Gurnee, IL 60031-3398 | 2008-07-03 |
| 1548428071 | Rest Assured Sleep Centers, LLC | Sleep Specialist, PhD | 200 S Greenleaf St, J, Gurnee, IL 60031-3398 | 2008-05-30 |
| 1760502306 | Amera Manzoor Rahman | Psychiatric Hospital | 200 S Greenleaf St, Gurnee, IL 60031-3398 | 2007-03-29 |
| 1366510281 | Albino Tirao Bismonte | Pediatrics | 200 S Greenleaf St, Suite E, Gurnee, IL 60031 | 2006-11-30 |
| 1306937289 | Waukegan Clinic Corp | Internal Medicine | 200 S Greenleaf St, Suite A, Gurnee, IL 60031-3398 | 2006-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
| Find all providers in zip 60031 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730238874 | Mahesh K Agarwal | Internal Medicine | 200 S Greenleaf, Suite G, Gurnee, IL 60031-3398 | 2007-01-09 |
| 1447452610 | Lavanya Srinivasan | Internal Medicine | 15 Tower Ct, Suite 140, Gurnee, IL 60031-3336 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720636202 | Pulmonary Associates Ltd | Internal Medicine | 71 W 156th St Ste 203, Harvey, IL 60426-4262 | 2019-08-28 |
| 1336516467 | Hesham A. Hassaballa, Md, Ltd | Internal Medicine | 109 Symonds Dr Unit 684, Hinsdale, IL 60522-7304 | 2015-08-24 |
| 1497141394 | Pulmonary and Critical Care Solutions, LLC | Internal Medicine | 6116 N 2200 East Rd, Downs, IL 61736-9459 | 2015-04-08 |
| 1558771220 | Christopher Charles Sutton | Internal Medicine | 3 Saint Elizabeth Blvd, O Fallon, IL 62269-1281 | 2014-05-05 |
| 1861835985 | Christie Ann Brillante | Internal Medicine | 1801 W. Taylor, Suite 3c, Chicago, IL 60612-4795 | 2013-04-08 |
| 1992050850 | Thomas Christopher Draghi | Internal Medicine | 155 Linden Ave, Oak Park, IL 60302-2610 | 2012-07-17 |
| 1144586041 | Robert T Zeck | Internal Medicine | 13141 Lake Mary Dr, Plainfield, IL 60585-2650 | 2012-04-04 |
| 1508160359 | Aziz Rahman Md Facp PC | Internal Medicine | 1050 Martin Luther King Dr, Ste 109, Centralia, IL 62801 | 2011-01-07 |
| 1811211774 | Vitalcare Medical Sc | Internal Medicine | 1146 S Waukegan Rd, Waukegan, IL 60085-6731 | 2010-03-22 |
| 1508095605 | Farhan Zaidi | Internal Medicine | 444 N Northwest Hwy Ste 206, Park Ridge, IL 60068 | 2009-07-09 |
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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.