DR. KATRINA T LAKE (NPI# 1679866305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679866305 |
| Entity Type | Individual |
| Full Name | DR. KATRINA T LAKE |
| Credential | MD |
| Practice Address |
233 W Joe Orr Rd Chicago Heights IL 60411-1744 |
| Mailing Address |
18503 Bellamy Rd Country Club Hills IL 60478-5279 |
| Practice Telephone | 8776928686 |
| Mailing Telephone | 7083088974 |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2020-04-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 036141229 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306205554 | Katrina Marie-vandenberg Lake | Physical Therapist | 1529 Seabright Ave, Santa Cruz, CA 95062-2528 | 2016-02-16 |
| 1477701647 | Katrina Lake | Acupuncturist | 200 E Del Mar Blvd, Suite 208, Pasadena, CA 91105-2544 | 2008-08-30 |
| Street Address |
233 W JOE ORR RD |
| City | CHICAGO HEIGHTS |
| State | IL |
| Zip Code | 60411-1744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841213188 | Lori Fender | Advanced Practice Midwife | 233 W Joe Orr Rd, Chicago Heights, IL 60411 | 2006-07-26 |
| 1811497647 | Laboratory Corportion of America | Clinical Medical Laboratory | 233 W Joe Orr Rd, Chicago Heights, IL 60411-1744 | 2018-02-19 |
| 1851612410 | Crystal Kaye Schuett | Advanced Practice Midwife | 233 W Joe Orr Rd, Chicago Heights, IL 60411-1744 | 2010-06-17 |
| 1700040235 | Bethlynn A Saberbein | Dentist | 233 W Joe Orr Rd, Chicago Heights, IL 60411-1744 | 2008-07-14 |
| 1417110826 | Asra Batool Khan | Obstetrics & Gynecology | 233 W Joe Orr Rd, Chicago Heights, IL 60411-1744 | 2008-07-07 |
| 1730366014 | Katherine A Pierce | Social Worker | 233 W Joe Orr Rd, Chicago Heights, IL 60411-1744 | 2008-01-29 |
| 1982886354 | Karen Wexler | Midwife | 233 W Joe Orr Rd, Chicago Heights, IL 60411-1744 | 2007-11-28 |
| 1023299724 | Theresa Bauer | Dental Hygienist | 233 W Joe Orr Rd, Chicago Heights, IL 60411-1744 | 2007-11-21 |
| 1184826422 | Aunt Marthas Youth Service Ctr | Counselor | 233 W Joe Orr Rd, Chicago Heights, IL 60411-1744 | 2007-05-31 |
| 1073736724 | Elmer L Washington | Family Medicine | 233 W Joe Orr Rd, Chicago Heights, IL 60411-1744 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164044236 | Bryant Healthy Living, LLC | Nurse Practitioner | 19404 N. Creek Drive, Lynwood, IL 60411 | 2020-05-12 |
| 1235657263 | Natisha Olaseni | Case Manager/Care Coordinator | 641 W. 63rd Street, Chicago, IL 60411 | 2017-08-30 |
| 1033644497 | Fresenius Medical Care Chicagoland, LLC | Clinic/Center | 15 E. Independence Drive, Chicago Heights, IL 60411 | 2017-04-24 |
| 1992251771 | Latonya West | Counselor | 1640 215th Pl, Sauk Village, IL 60411 | 2016-08-31 |
| 1063868586 | Oho and Associates | Non-emergency Medical Transport (VAN) | 1010 S. Dixie Hwy, Chicago Heights, IL 60411 | 2016-05-13 |
| 1578945309 | Albert Ellis Jr. | Counselor | 395 West Lincoln Highway, Chicago Heights, IL 60411 | 2015-06-29 |
| 1407238181 | Stephanie Touney | Behavioral Analyst | 450 West 14th Street, Chicago Heights, IL 60411 | 2015-06-18 |
| 1851788582 | Dlw Transporation Corp | Non-emergency Medical Transport (VAN) | 603 Andover, Chicago H.t.s., IL 60411 | 2015-04-21 |
| 1215338983 | Stephanie Anderson-bell | Occupational Therapist | 630 Ranger Dr., Chicago Heights, IL 60411 | 2014-09-11 |
| 1255778221 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 500 Dixie Highway, Chicago Heights, IL 60411 | 2013-05-30 |
| Find all providers in zip 60411 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076781 | Luis E Ugarte | Obstetrics & Gynecology | 152 W Lincoln Hwy, Chicago Heights, IL 60411-2619 | 2005-07-12 |
| 1417110826 | Asra Batool Khan | Obstetrics & Gynecology | 233 W Joe Orr Rd, Chicago Heights, IL 60411-1744 | 2008-07-07 |
| 1275580565 | Arlette F. Brown | Obstetrics & Gynecology | 152 W Lincoln Hwy, Chicago Heights, IL 60411-2619 | 2006-05-30 |
| 1669422424 | Gail Cansler | Obstetrics & Gynecology | 30 E 15th St, Suite 306, Chicago Heights, IL 60411-3459 | 2006-05-11 |
| 1427016856 | Christal L West | Obstetrics & Gynecology | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162210 | Clair L Casagrande | Obstetrics & Gynecology | 1300 Franklin Ave Ste 330, Normal, IL 61761-4204 | 2020-10-23 |
| 1699382531 | Contemporary Ob/gyn Chicago, Pllc | Obstetrics & Gynecology | 2007 S State St, Chicago, IL 60616-2173 | 2020-09-24 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1851910210 | Wayne Richard Burrows | Obstetrics & Gynecology | 1412 S Diamond St, South Jacksonville, IL 62650-3143 | 2020-04-15 |
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1962050971 | Jessica Erin Buesing | Obstetrics & Gynecology | 27790 W Highway 22 Ste 37, Barrington, IL 60010-2396 | 2019-09-03 |
| 1235784760 | Gynecologic Surgery & Menopause Solutions PC | Obstetrics & Gynecology | 1890 Silver Cross Blvd Ste 445, New Lenox, IL 60451-9622 | 2019-08-01 |
| 1477105187 | Anthony Greis | Obstetrics & Gynecology | 540 Lake Cook Road, Suite 300, Deerfield, IL 60015 | 2019-07-12 |
| 1164980769 | Hanna Legator | Obstetrics & Gynecology | 1875 Dempster St Ste 300, Park Ridge, IL 60068-1186 | 2019-03-04 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| Find all providers with the same taxonomy | ||||
| City | CHICAGO HEIGHTS |
| Zip Code | 60411 |
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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.