MR. RUSTAM SAFAROV (NPI# 1770147480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770147480 |
| Entity Type | Individual |
| Full Name | MR. RUSTAM SAFAROV |
| Credential | FNP |
| Practice Address |
6 E Phillip Rd Vernon Hills IL 60061-1700 |
| Mailing Address |
10 N Milwaukee Ave Wheeling IL 60090-3012 |
| Practice Telephone | 8476800500 |
| Mailing Telephone | 8772291006 |
| Enumeration Date | 2019-04-28 |
| Last Update Date | 2020-01-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F03190845 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6 E PHILLIP RD |
| City | VERNON HILLS |
| State | IL |
| Zip Code | 60061-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255321543 | Steven R Schubert | Internal Medicine | 6 E Phillip Rd, 1101, Vernon Hills, IL 60061-1700 | 2005-10-27 |
| 1780907212 | Steven R Schubert Mdsc | Internal Medicine | 6 E Phillip Rd, Suite 1101, Vernon Hills, IL 60061-1700 | 2010-03-11 |
| 1649415001 | Heidi G Weiland | Nurse Practitioner | 6 E Phillip Rd, Suite 1103, Vernon Hills, IL 60061-1700 | 2008-12-12 |
| 1932307998 | Twin Grove Pediatrics, P.C. | Pediatrics | 6 E Phillip Rd, Suite 1108, Vernon Hills, IL 60061-1700 | 2007-07-10 |
| 1518181304 | Eye Care Center of Lake County Refractive Surgery Associates | Ophthalmology | 6 E Phillip Rd, Suite 1110, Vernon Hills, IL 60061-1700 | 2007-04-12 |
| 1609998327 | Condell Acute Care Centers | Internal Medicine | 6 E Phillip Rd, Vernon Hills, IL 60061-1700 | 2007-04-04 |
| 1861536815 | Lodd Medical Group, S.c. | Family Medicine | 6 E Phillip Rd, Suite 1108, Vernon Hills, IL 60061-1700 | 2007-02-15 |
| 1275618191 | Maria Mae | Contractor | 6 E Phillip Rd, Vernon Hills, IL 60061-1700 | 2006-10-26 |
| 1053418244 | Lake County Acute Care, LLP | Internal Medicine | 6 E Phillip Rd, Vernon Hills, IL 60061-1700 | 2006-09-20 |
| 1205845054 | Rafa Adi | Internal Medicine | 6 E Phillip Rd, Ste 1109, Vernon Hills, IL 60061-1700 | 2006-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841833399 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | Milwaukee Ave & E Towline Rd #e1600, Vernon Hills, IL 60061 | 2019-10-28 |
| 1124423769 | Deborah Randall | Pharmacist | 706 Summit Ln, Vernon Hills, IL 60061 | 2014-10-24 |
| 1902217938 | Alexandra Kohl Brady | Pediatrics | 830 W End Ct Ste 500, Vernon Hills, IL 60061 | 2014-05-13 |
| 1467862508 | Michelle Bistany | Counselor | 24647 North Milwaukee Avenue, Vernon Hills, IL 60061 | 2014-04-29 |
| 1740540913 | Serge Sorokin | Counselor | 565 Lakeview Parkway, Suite 105, Vernon Hills, IL 60061 | 2012-05-22 |
| 1972878304 | Valerie L Mayer | Counselor | 24647 N. Milwaukee Ave, Vernon Hills, IL 60061 | 2012-03-19 |
| 1407158033 | Ziemowit Mazur | Physician Assistant | 230 Center Drive, Vernon Hills, IL 60061 | 2010-12-02 |
| 1841508249 | Mandy L Imai | Speech-Language Pathologist | 200 N. Fairway Drive Ste 208, Vernon Hills, IL 60061 | 2010-09-20 |
| 1811203268 | Sarah E. Anderson | Occupational Therapist | 200 N. Fairway Drive, Suite 208, Vernon Hills, IL 60061 | 2010-08-24 |
| 1679898969 | Mussie Beraki | Internal Medicine | 6e Phillip Road Suite 1104, Vernon Hills, IL 60061 | 2010-03-30 |
| Find all providers in zip 60061 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972001758 | Heather Michalides | Nurse Practitioner | 830 W End Ct Ste 400, Vernon Hills, IL 60061-1344 | 2018-01-26 |
| 1831542703 | Allison Marie Hunter | Nurse Practitioner | 6 E Phillip Rd Ste 1108, Vernon Hills, IL 60061-1700 | 2016-07-15 |
| 1194338160 | Queeneth N Egwu | Nurse Practitioner | 313 E Townline Rd, Vernon Hills, IL 60061-1555 | 2020-08-28 |
| 1851946446 | Audrey Elizabeth Polywka | Nurse Practitioner | 313 E Townline Rd, Vernon Hills, IL 60061-1555 | 2019-08-09 |
| 1366006017 | Klaudia Joanna Rokicki | Nurse Practitioner | 313 E Townline Rd, Vernon Hills, IL 60061-1555 | 2019-04-29 |
| 1619531340 | Tory Andrews | Nurse Practitioner | 313 E Townline Rd, Vernon Hills, IL 60061-1555 | 2019-04-29 |
| 1841753001 | Dena Lynn Hinkle | Nurse Practitioner | 977 Lakeview Pkwy Ste 170, Vernon Hills, IL 60061-1429 | 2019-04-12 |
| 1568837664 | Michelle Neff | Nurse Practitioner | 313 E Townline Rd, Vernon Hills, IL 60061-1555 | 2015-12-01 |
| 1649415001 | Heidi G Weiland | Nurse Practitioner | 6 E Phillip Rd, Suite 1103, Vernon Hills, IL 60061-1700 | 2008-12-12 |
| 1811144629 | Abby Elizabeth Mcmahon | Nurse Practitioner | 565 Lakeview Pkwy Ste 116, Vernon Hills, IL 60061-1822 | 2008-08-22 |
| Find all providers in VERNON HILLS | ||||
| City | VERNON HILLS |
| Zip Code | 60061 |
Please comment or provide details below to improve the information on MR. RUSTAM SAFAROV.
| 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.