ENT CONSULTANTS OF LAKE COUNTY (NPI# 1811982408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811982408 |
| Entity Type | Organization |
| Organization Name | ENT CONSULTANTS OF LAKE COUNTY |
| Practice Address |
755 S Milwaukee Ave Ste 181 Libertyville IL 60048-3253 |
| Mailing Address |
755 S Milwaukee Ave Ste 181 Libertyville IL 60048 |
| Practice Telephone | 8478161228 |
| Practice Fax Number | 8478161262 |
| Mailing Telephone | 8478161228 |
| Mailing Fax Number | 8478161262 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2012-10-05 |
| Authorized Official Name | MRS. STACEY M WILCOX (OFFICE MANAGER) |
| Authorized Official Telephone | 8478161228 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 042-002811 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036039785 | 05 |
| Street Address |
755 S MILWAUKEE AVE STE 181 |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-3253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396744348 | Thomas Norman Porter | Urology | 755 S Milwaukee Ave, Ste 263, Libertyville, IL 60048-3253 | 2005-07-20 |
| 1821463431 | Kidney Care Center Grayslake LLC | Internal Medicine | 755 S Milwaukee Ave, Suite 262, Libertyville, IL 60048-3253 | 2015-12-08 |
| 1588929525 | Opioid Addiction Recovery Services PC | Internal Medicine | 755 S Milwaukee Ave, Suite 210, Libertyville, IL 60048-3253 | 2012-07-05 |
| 1154648798 | Linda Schmeisser | Hearing Instrument Specialist | 755 S Milwaukee Ave, Suite 189, Libertyville, IL 60048-3253 | 2010-04-21 |
| 1104075993 | Rebecca Seymour | Physical Therapist | 755 S Milwaukee Ave, Suite 283, Libertyville, IL 60048-3253 | 2008-09-16 |
| 1558533539 | Ronald L Freeman, M.d., S.c. | Ophthalmology | 755 S Milwaukee Ave, Suite 150, Libertyville, IL 60048-3253 | 2008-03-30 |
| 1912181744 | Hosam Zakariya M.d.,s.c. | Clinic/Center | 755 S Milwaukee Ave, Suite 181, Libertyville, IL 60048-3253 | 2007-12-28 |
| 1053500801 | Thomas N Porter Md Sc | Urology | 755 S Milwaukee Ave, Ste 263, Libertyville, IL 60048-3266 | 2007-10-17 |
| 1073706685 | Thomas H Burnstine, M.d.,s.c. | Specialist | 755 S Milwaukee Ave, Suite 220, Libertyville, IL 60048-3253 | 2007-08-27 |
| 1831391143 | Sharon W Wong Md S.c. | Clinic/Center | 755 S Milwaukee Ave, Suite 220, Libertyville, IL 60048-3253 | 2007-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184119950 | Park Avenue Dental Professionals, PC | Dentist | 1001 W. Park Avenue, Libertyville, IL 60048 | 2018-06-25 |
| 1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
| 1366943672 | Jackie Rayyan | Behavior Technician | 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 | 2018-02-22 |
| 1851804850 | Mary E. Linsey | Counselor | 34180 Highway 45, Libertyville, IL 60048 | 2017-11-13 |
| 1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
| 1164946471 | Christianna Patterson | Speech-Language Pathologist | 1870 W Winchester Rd #203, Libertyville, IL 60048 | 2017-07-28 |
| 1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
| 1396291530 | Karyn Kolner | Physical Therapist | 860 W Winchester Rd, #108, Libertyville, IL 60048 | 2016-08-28 |
| 1477900785 | Medlogic LLC | Clinic/Center | 114 West Rockland Road, Suite 201, Libertyville, IL 60048 | 2016-05-17 |
| 1477926343 | Robert Mcnulty | Student in an Organized Health Care Education/Training Program | 1313 Crane Blvd, Libertyville, IL 60048 | 2015-11-02 |
| Find all providers in zip 60048 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629131875 | William M. Gatti | Otolaryngology | 755 S. Milwaukee Ave., Suite 181, Libertyville, IL 60048 | 2006-12-19 |
| 1205926359 | Angelique A Cohen | Otolaryngology | 850 S. Milwaukee Avenue, Libertyville, IL 60048-3267 | 2006-10-12 |
| 1780752055 | Angelique Cohen M.d.s.c. | Otolaryngology | 850 S. Milwaukee Avenue, Libertyville, IL 60048-3227 | 2006-12-02 |
| 1669582581 | Rebecca J Kennedy | Otolaryngology | 755 S Milwaukee Ave, #181, Libertyville, IL 60048 | 2006-08-30 |
| 1518932227 | Mishail A Shapiro | Otolaryngology | 114 W Rockland Rd, Libertyville, IL 60048-2774 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841838109 | Ryan C. Vaughn, Md Pllc | Otolaryngology | 1900 E Golf Rd Ste L125, Schaumburg, IL 60173-5831 | 2019-12-18 |
| 1265074934 | Toriumi Facial Plastics Pllc | Otolaryngology | 60 E Delaware Pl Ste 1425, Chicago, IL 60611-1998 | 2019-10-14 |
| 1184281735 | Advanced Ear Nose & Throat Specialists, Pllc | Otolaryngology | 925 N Milwaukee Ave Unit 200, Vernon Hills, IL 60061-1637 | 2019-05-20 |
| 1780144402 | Veronica Maria Drozdowski | Otolaryngology | 2160 S 1st Ave Rm 1870, Maywood, IL 60153-3328 | 2019-03-20 |
| 1205395019 | Brian Yuhan | Otolaryngology | 2160 S 1st Ave Bldg 105, Maywood, IL 60153-3328 | 2019-03-19 |
| 1285100529 | Lauren E Lesniewski | Otolaryngology | 680 N Lake Shore Dr Ste 1210, Chicago, IL 60611-4490 | 2018-10-14 |
| 1982100525 | Muyinat Yewande Osoba | Otolaryngology | 675 N. Saint Clair St, Galter Pavilion, 15th Floor, Room 200, Chicago, IL 60611-5975 | 2018-04-03 |
| 1851811343 | Peter S Dumich | Otolaryngology | 2609 S Nottingham Ct, Champaign, IL 61821-6182 | 2017-06-26 |
| 1104354414 | Sara M. Wing | Otolaryngology | 301 N 8th St Ste 5b, Springfield, IL 62701-1041 | 2017-05-31 |
| 1750734778 | Darius Bliznikas Md Sc | Otolaryngology | 7110 W 127th St Ste 210, Palos Heights, IL 60463-1580 | 2016-07-14 |
| Find all providers with the same taxonomy | ||||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
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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.