LEWIS WASSERMAN (NPI# 1821284506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821284506 |
| Entity Type | Individual |
| Full Name | LEWIS WASSERMAN |
| Practice Address |
40 Skokie Blvd Ste 520 Northbrook IL 60062-1601 |
| Mailing Address |
Po Box 917 Northbrook IL 60065-0917 |
| Practice Telephone | 8475045000 |
| Practice Fax Number | 8475045015 |
| Mailing Telephone | 8475045000 |
| Mailing Fax Number | 8475045015 |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2019-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
016004408 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1821284506 | 05 | |
| WI | RAILROAD MEDICARE | P01703994 | 01 |
| IL | RAILROAD MEDICARE | P01458509 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700866035 | Lewis Wasserman | Pediatrics | 844 N Thornton Ave, Orlando, FL 32803-4003 | 2006-01-20 |
| Street Address |
40 SKOKIE BLVD STE 520 |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921483 | Joseph S. Borreggine | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2005-06-02 |
| 1588206262 | Preferred Podiatry Group of Kansas LLC | Durable Medical Equipment & Medical Supplies | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2019-10-14 |
| 1174060917 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2017-01-31 |
| 1134576143 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2016-05-19 |
| 1871940882 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2016-05-19 |
| 1093175978 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2016-03-04 |
| 1043689896 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2015-09-23 |
| 1699165647 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2015-01-29 |
| 1922421213 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2014-01-23 |
| 1316360613 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2014-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487067 | Cvs Aoc Services, L.L.C. | Optometrist | 936 Willow Road, Store 0141, Northbrook, IL 60062 | 2020-05-06 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1396282695 | Josephine Driscoll | Physician Assistant | 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 | 2017-01-24 |
| 1396297842 | Lauren Raphael Lcsw LLC | Social Worker | 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 | 2016-11-01 |
| 1851847073 | Jassim Vailoces | Physical Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-08-28 |
| Find all providers in zip 60062 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245212836 | Jacqueline Barbara Chen | Podiatrist | 425 Huelh Rd, Unit 13, Northbrook, IL 60062-2319 | 2005-11-18 |
| 1083917553 | Francine Christina Rhinehart | Podiatrist | 425 Huehl Rd # 13, Northbrook, IL 60062-2319 | 2010-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902269301 | Jillian Cabai | Podiatrist | 3000 N Halsted St Ste 606, Chicago, IL 60657-6456 | 2016-04-01 |
| 1710279641 | Prpodiatry, LLC | Podiatrist | 433 W Briar Pl, Unit 7b, Chicago, IL 60657-4752 | 2011-05-11 |
| 1205071149 | Bradley W. Buckrop Dpm | Podiatrist | 3727 46th Ave, Suite 103, Rock Island, IL 61201-7078 | 2008-12-05 |
| 1396919130 | Marwa Sayed | Podiatrist | 7255 W 87th St Unit 1, Bridgeview, IL 60455-1821 | 2008-04-14 |
| 1013191287 | Nikola Ivancevic Dpm PC | Podiatrist | 135 S Palmer Dr, Suite 105, Elmhurst, IL 60126-3403 | 2007-12-24 |
| 1659577575 | Pam Eernisse Dpm Sc | Podiatrist | 680 N Lake Shore Dr # 1305, Chicago, IL 60611-4546 | 2007-06-26 |
| 1720118367 | Larry Allen Keyes | Podiatrist | 1023 Madison St, Oak Park, IL 60302-4404 | 2007-03-06 |
| 1548399462 | Two Steps Ahead Podiatry, Inc. | Podiatrist | 1001 E Wilson St Ste 180, Batavia, IL 60510-3168 | 2007-03-05 |
| 1447392972 | Willie Lee Brown | Podiatrist | 10700 Lincoln Trl, Suite E, Fairview Heights, IL 62208-2037 | 2007-02-12 |
| 1972685410 | Nikola Ivancevic | Podiatrist | 5646 St Charles Rd, Suite B, Berkeley, IL 60163 | 2006-10-20 |
| Find all providers with the same taxonomy | ||||
| City | NORTHBROOK |
| Zip Code | 60062 |
Please comment or provide details below to improve the information on LEWIS WASSERMAN.
| 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.