DR. LAWRENCE TIMOTHY KACMAR (NPI# 1699861682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699861682 |
| Entity Type | Individual |
| Full Name | DR. LAWRENCE TIMOTHY KACMAR |
| Credential | M.D. |
| Practice Address |
3965 75th St Suite 103 Aurora IL 60504-7925 |
| Practice Telephone | 6303751625 |
| Practice Fax Number | 6303751925 |
| Mailing Telephone | 6303751625 |
| Mailing Fax Number | 6303751925 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2014-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
036-091557 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUECROSS/BLUESHIELD | 0002232125 | 01 |
| IL | UNITED HEALTHCARE | 17167232 | 01 |
| IL | 036091557 | 05 |
| Street Address |
3965 75TH ST SUITE 103 |
| City | AURORA |
| State | IL |
| Zip Code | 60504-7925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114476322 | Leah Kristene Michelli | Physician Assistant | 3965 75th St, Suite 103, Aurora, IL 60504-7925 | 2016-09-28 |
| 1659828259 | Nita Mohanan | Occupational Therapist | 3965 75th St, Suite 104, Aurora, IL 60504-7925 | 2016-09-01 |
| 1821489568 | Melinda Marie Montgomery | Nurse Practitioner | 3965 75th St, Suite 103, Aurora, IL 60504-7925 | 2015-02-17 |
| 1023414356 | Alyssa Sivek | Speech-Language Pathologist | 3965 75th St, Suite 104, Aurora, IL 60504-7925 | 2014-11-13 |
| 1144629494 | Michelle Sima | Specialist/Technologist | 3965 75th St, Aurora, IL 60504-7925 | 2014-08-21 |
| 1619383932 | Alison Marie Smith | Speech-Language Pathologist | 3965 75th St, Suite 104, Aurora, IL 60504-7925 | 2014-07-08 |
| 1770905820 | Jamie Long | Occupational Therapist | 3965 75th St, Suite 104, Aurora, IL 60504-7925 | 2014-01-08 |
| 1316389810 | Amy Rose Mcdowell | Speech-Language Pathologist | 3965 75th St, #104, Aurora, IL 60504-7925 | 2013-07-24 |
| 1982943767 | Anne Vosicky | Occupational Therapist | 3965 75th St, Suite 104, Aurora, IL 60504-7925 | 2013-02-13 |
| 1801158902 | Mckinzie Sheridan | Speech-Language Pathologist | 3965 75th St, Suite 104, Aurora, IL 60504-7925 | 2012-06-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631039 | Kamala Lakshmipathy | Physical Therapist | 2021 Randi Drive, Aurora, IL 60504 | 2017-10-31 |
| 1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
| 1316499023 | Wilcox and Wilcox, Inc | Home Health | 75 Executive Drive, Suite 301, Aurora, IL 60504 | 2016-10-28 |
| 1518315241 | Kinsley Jin | Family Medicine | Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 | 2016-06-03 |
| 1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
| 1275907883 | Lolita Lajoyce Norris | Private Vehicle | 235 Kirkland Ln, Aurora, IL 60504 | 2015-11-19 |
| 1972917557 | Elizabeth Sledge | Occupational Therapist | 1000 Celebration Dr, Aurora, IL 60504 | 2014-06-11 |
| 1962840330 | Sparc Chiropractic, P.C. | Chiropractor | 800-2 Frontenac Road, #2, Aurora, IL 60504 | 2013-06-07 |
| 1932451952 | Illinois Health Resources Inc | Physical Therapist | 1240 S Commons Dr, Aurora, IL 60504 | 2012-10-15 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| Find all providers in zip 60504 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| 1790807659 | Julie Clare Wilson | Family Medicine | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2007-04-04 |
| 1548300395 | Marc Peter Hilgers | Family Medicine | 1221 N Highland Ave, Aurora, IL 60506-1404 | 2007-02-08 |
| 1235225269 | Lawrence T. Kacmar M.d., S.c. | Family Medicine | 3965 75th St, Suite 103, Aurora, IL 60504-7925 | 2006-10-05 |
| 1750496733 | Sourav Poddar | Family Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-08-20 |
| 1043297799 | Robert D. Paras | Family Medicine | 2111 Ogden Ave, Aurora, IL 60504-7597 | 2005-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164817334 | Shachi Pandya | Family Medicine | 18350 Kedzie Ave Ste 101, Homewood, IL 60430 | 2015-04-03 |
| 1821438185 | Marianne Hana | Family Medicine | 60 Orland Square Dr Ste 101, Orland Park, IL 60462 | 2013-07-01 |
| 1144495961 | Karsten B Slater | Family Medicine | 1527 College Dr, Mount Carmel, IL 62863 | 2008-04-23 |
| 1104000561 | Competitive Edge Sports Medicine | Family Medicine | 14160 Jamestown Rd, Breese, IL 62230 | 2007-12-20 |
| 1477734150 | Sashil Singh Kapur | Family Medicine | 415 N Lasalle Street, Suite 100, Chicago, IL 60654 | 2007-11-21 |
| 1659562585 | Ketan R Mody | Family Medicine | 760 Pasquinelli Dr Ste 304, Westmont, IL 60559-1290 | 2007-08-06 |
| 1285841544 | Arthur Aragones | Family Medicine | 135 E Irving Park Rd, Streamwood, IL 60107-2950 | 2007-05-17 |
| 1003028150 | Jill Wirth-rissman | Family Medicine | 205 N Cummings Ln, Washington, IL 61571-2181 | 2007-05-03 |
| 1497838676 | Christopher Eric Cieurzo | Family Medicine | 510 Pow Mia St Bldg P40, Scott Afb, IL 62225-5020 | 2006-10-23 |
| 1922108224 | Mark Theodore Veldman | Family Medicine | 1900 Silver Cross Blvd Ste 120, New Lenox, IL 60451-9509 | 2006-09-25 |
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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.