VCFE OF LAKE COUNTY, INC (NPI# 1821137183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821137183 |
| Entity Type | Organization |
| Organization Name | VCFE OF LAKE COUNTY, INC |
| Practice Address |
1445 N Hunt Club Rd Suite 103 Gurnee IL 60031-2603 |
| Practice Telephone | 8478562534 |
| Practice Fax Number | 8478562534 |
| Mailing Telephone | 8478562534 |
| Mailing Fax Number | 8478562534 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TIMOTHY RYAN (PRESIDENT) |
| Authorized Official Telephone | 8478562534 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
1445 N HUNT CLUB RD SUITE 103 |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790787570 | Timothy J Ryan | Specialist | 1445 N Hunt Club Rd, Suite 103, Gurnee, IL 60031-2603 | 2005-08-11 |
| 1679961163 | Angela Kastl | Nurse Practitioner | 1445 N Hunt Club Rd, Gurnee, IL 60031-2603 | 2015-01-06 |
| 1619383262 | May Arnaiz Suasin | Nurse Practitioner | 1445 N Hunt Club Rd, Gurnee, IL 60031-2603 | 2014-07-03 |
| 1942445630 | Kara N Easton | Nurse Practitioner | 1445 N Hunt Club Rd, Suite 103, Gurnee, IL 60031-2603 | 2008-12-09 |
| 1912192634 | Okner Cardiology Group, LLC | Clinic/Center | 1445 N Hunt Club Rd, 101, Gurnee, IL 60031-2603 | 2007-09-06 |
| 1073704128 | Family Focused Healthcare | Family Medicine | 1445 N Hunt Club Rd, Suite 304, Gurnee, IL 60031-2603 | 2007-08-05 |
| 1043410111 | M P M Family Health Inc. | Family Medicine | 1445 N Hunt Club Rd, Suite 304, Gurnee, IL 60031-2603 | 2007-07-18 |
| 1376751982 | Walid N. Ghantous Md Ltd | Specialist | 1445 N Hunt Club Rd, Suite 201, Gurnee, IL 60031-2603 | 2007-05-18 |
| 1629199344 | North Suburban Medical Office, Ltd | Clinic/Center | 1445 N Hunt Club Rd, Suite 301, Gurnee, IL 60031-2603 | 2007-04-02 |
| 1477618155 | Omaima Degani | Internal Medicine | 1445 N Hunt Club Rd, Suite 201, Gurnee, IL 60031-2603 | 2006-12-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
| Find all providers in zip 60031 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699734186 | Desmond B Mcdonagh | Surgery | 1790 Nations Dr, Suite #207, Gurnee, IL 60031-9164 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396267324 | Congress Vascular Center LLC | Surgery | 41 W Congress Pkwy Fl 1, Chicago, IL 60605-1531 | 2017-07-11 |
| 1043731300 | Elmwood Park Vascular Center LLC | Surgery | 7230 W North Ave Ste 108, Elmwood Park, IL 60707-4261 | 2017-06-27 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1992126668 | Vascular Specialists LLC | Surgery | 20060 Governors Dr Ste 102, Olympia Fields, IL 60461-1099 | 2013-12-26 |
| 1588959548 | Patrick Michael Sullivan Neville | Surgery | 4600 Memorial Dr Ste 120, Belleville, IL 62226-5359 | 2011-06-17 |
| 1235454968 | Margaret Claire Rigamer | Surgery | 1901 W Harrison St Dept Of, Chicago, IL 60612-3714 | 2010-04-06 |
| 1215251541 | John V. White, Md, LLC | Surgery | 8816 W Dempster St, Niles, IL 60714-5109 | 2010-03-15 |
| 1710212733 | Vascular Surgery and Interpretation S.c. | Surgery | 3330 W 177th St Ste 2c1, Hazel Crest, IL 60429-2184 | 2009-10-08 |
| 1538391792 | Usa Vein Clinics of Chicago LLC | Surgery | 4141 Dundee Rd, Northbrook, IL 60062-2129 | 2009-08-20 |
| 1306010731 | Tanq, Inc. | Surgery | 18510 S Marilynn Ct, Mokena, IL 60448-9517 | 2008-04-16 |
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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.