DR. KIMBERLY LYNN MORSTADT (NPI# 1639370083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639370083 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY LYNN MORSTADT |
| Credential | MD |
| Practice Address |
300 N Milwaukee Ave Suite D Lake Villa IL 60046-8563 |
| Mailing Address |
7100 Commerce Way Suite 180 Brentwood TN 37027-2829 |
| Practice Telephone | 8473566634 |
| Practice Fax Number | 8473567264 |
| Mailing Telephone | 6154657000 |
| Mailing Fax Number | 6154653007 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2012-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036.122375 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 125051462 | IL | Student, Health Care |
| Street Address |
300 N MILWAUKEE AVE SUITE D |
| City | LAKE VILLA |
| State | IL |
| Zip Code | 60046-8563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902958929 | Mitchell Alin Jackson | Ophthalmology | 300 N Milwaukee Ave, Suite L Jacksoneye Sc, Lake Villa, IL 60046 | 2007-01-18 |
| 1598953754 | Terryll Eli Joy | Family Medicine | 300 N Milwaukee Ave, Suite D, Lake Villa, IL 60046-8563 | 2007-10-11 |
| 1073669834 | Jacksoneye Sc | Ophthalmology | 300 N Milwaukee Ave, Suite L, Lake Villa, IL 60046 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962021287 | Kathryn Anne Harper | Physical Therapist | 7900 Rollins Road, Lake Villa, ID 60046 | 2020-04-16 |
| 1508346263 | Milennium Medical Ltd | Nurse Practitioner | 2866 Falling Waters, Lindenhurst, IL 60046 | 2018-08-21 |
| 1497264121 | Gail Truger | Speech-Language Pathologist | 24750 W. Dering Lane, Lake Villa, IL 60046 | 2017-09-26 |
| 1104345669 | Tobias V Schirmer | Speech-Language Pathologist | Palombi Middle School, 133 South Mckinley, Lake Villa, IL 60046 | 2017-09-15 |
| 1699163410 | Daniel Aron Goldberg | Psychologist | 600 West Grand Avenue, Lake Villa, IL 60046 | 2014-12-31 |
| 1962838946 | Kendall Barber | Physical Therapist | 50 S Milwaukee Ave Ste 201, Lake Villa, IL 60046 | 2013-09-23 |
| 1790045284 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1025 Red Oak Lane, Suite 100, Lindenhurst, IL 60046 | 2012-05-18 |
| 1548534977 | Daniela Cvetkova | Counselor | 3021 Falling Waters, Lindenhurst, IL 60046 | 2012-03-02 |
| 1225310568 | Dimitrios George Tsakos | Pharmacist | 399 South Route 45, Lindenhurst, IL 60046 | 2011-09-13 |
| 1285933085 | Abigail Jean Bradley | Developmental Therapist | 87 Bridlepath Drive, Lindenhurst, IL 60046 | 2011-03-18 |
| Find all providers in zip 60046 | ||||
| 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 |
|---|---|---|---|---|
| 1679056618 | Eugene Pomeranets M.d.s.c. | Family Medicine | 500 Park Ave Ste 104, Lake Villa, IL 60046-6550 | 2018-09-14 |
| 1164548046 | You-sah Kim | Family Medicine | 201 S. Miluakee Ave, Lake Villa, IL 60046 | 2007-03-22 |
| 1316063399 | Mohamed E Nasr | Family Medicine | 213 S Milwaukee Ave, Lake Villa, IL 60046-8551 | 2007-03-22 |
| 1861485658 | Family Care of Lake County S.c. | Family Medicine | 500 Park Ave, Ste 104, Lake Villa, IL 60046-6556 | 2005-08-26 |
| 1598953754 | Terryll Eli Joy | Family Medicine | 300 N Milwaukee Ave, Suite D, Lake Villa, IL 60046-8563 | 2007-10-11 |
| 1811102353 | Medical Care Center of Lake Villa | Family Medicine | 213 S Milwaukee Ave, Lake Villa, IL 60046-8551 | 2007-05-10 |
| 1508855040 | Semyon Maslovsky | Family Medicine | 500 Park Ave, Ste 104, Lake Villa, IL 60046-6556 | 2005-10-18 |
| 1770579005 | Eugene A Pomeranets | Family Medicine | 500 Park Ave, Ste 104, Lake Villa, IL 60046-6556 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558969964 | Nicole Kerner | Family Medicine | 310 Brandy Dr, Mackinaw, IL 61755-9707 | 2020-10-16 |
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | LAKE VILLA |
| Zip Code | 60046 |
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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.