KENNETH J TOMCHIK (NPI# 1629090972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629090972 |
| Entity Type | Individual |
| Full Name | KENNETH J TOMCHIK |
| Credential | MD |
| Practice Address |
125-6 E State Rd Island Lake IL 60042-9603 |
| Mailing Address |
125-6 East State Rd Po Box 190 Island Lake IL 60042-0190 |
| Practice Telephone | 8475264212 |
| Practice Fax Number | 8475264214 |
| Mailing Telephone | 8475264212 |
| Mailing Fax Number | 8475264214 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036-072257 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036-072257 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3707 Doty Rd Ste E&f, Woodstock, IL 600987530 | 8153386600 | 8153371980 |
| Street Address |
125-6 E STATE RD |
| City | ISLAND LAKE |
| State | IL |
| Zip Code | 60042-9603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124547534 | Amy Elizabeth Toczyski | Specialist/Technologist | 4331 Shooting Star Dr, Island Lake, IL 60042 | 2017-09-18 |
| 1710400114 | Donna Jean Brooks | Social Worker | 28070 W. State Rt. 176, Island Lake, IL 60042 | 2017-07-18 |
| 1205113198 | Tiana Lynn Kelchen | Chiropractor | 28070 Route 176, Island Lake, IL 60042 | 2011-11-07 |
| 1003096496 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 442 W State Rd, Island Lake, IL 60042 | 2007-11-14 |
| 1144253816 | Marie F Behm | Chiropractor | 28070 Rt. 176, Island Lake, IL 60042 | 2006-07-08 |
| 1407821390 | Kathleen Margaret Lindsey | Chiropractor | 28070 Rt 176, Island Lake, IL 60042-0120 | 2006-02-22 |
| 1831103332 | Michelle Marie Ralph | Physical Therapist | 801 S Milwaukee, Condell Medical Center Condell Drive, Libertyville, IL 60042-3199 | 2006-07-28 |
| 1124049598 | Gurbax Singh Saini | Internal Medicine | 27979 N Converse Rd, Island Lake, IL 60042-8103 | 2006-07-21 |
| 1598005019 | Debra Wallace | Marriage & Family Therapist | 27979 N Converse Rd, Island Lake, IL 60042-8103 | 2013-02-20 |
| 1649499112 | Gurbax Singh Saini Md | Internal Medicine | 27979 N Converse Rd, Island Lake, IL 60042-8103 | 2007-04-24 |
| Find all providers in zip 60042 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1124049598 | Gurbax Singh Saini | Internal Medicine | 27979 N Converse Rd, Island Lake, IL 60042-8103 | 2006-07-21 |
| 1649499112 | Gurbax Singh Saini Md | Internal Medicine | 27979 N Converse Rd, Island Lake, IL 60042-8103 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002832 | Coleman Clinic, Inc. | Internal Medicine | 1893 Daimler Rd Ste A, Rockford, IL 61112-1081 | 2020-10-29 |
| 1922606193 | Thatiana Carolina Schulze Goni | Internal Medicine | 5924 N Lincoln Ave Apt 205, Chicago, IL 60659-3736 | 2020-10-11 |
| 1447866579 | Jashan Gill | Internal Medicine | 3707 Doty Rd Ste Eandf, Woodstock, IL 60098-7530 | 2020-09-23 |
| 1649884636 | Maria Detolve Donoghue | Internal Medicine | 905 Eldorado St, Winnetka, IL 60093-1951 | 2020-09-07 |
| 1750995742 | Eva Bartaula | Internal Medicine | 1500 S Fairfield Ave # 3, Chicago, IL 60608-1782 | 2020-09-07 |
| 1750994513 | Ranjit Babu Jasaraj | Internal Medicine | 1500 S Fairfield Ave # F-914, Chicago, IL 60608-1782 | 2020-08-30 |
| 1871106005 | Vijay Ketan Reddy | Internal Medicine | 1500 S Fairfield Ave Dept Roomf914, Chicago, IL 60608-1782 | 2020-08-27 |
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1659989937 | Consultant Physicians | Internal Medicine | 580 Bankview Dr, Frankfort, IL 60423-1382 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
| City | ISLAND LAKE |
| Zip Code | 60042 |
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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.