CYNTHIA YVONNE ABBAN (NPI# 1841556735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841556735 |
| Entity Type | Individual |
| Full Name | CYNTHIA YVONNE ABBAN |
| Credential | MD/PHD |
| Practice Address |
7505 Grand Ave Gurnee IL 60031-1551 |
| Practice Telephone | 8472458448 |
| Mailing Telephone | 8472458448 |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2020-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 036139379 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100059191 | 05 |
| Street Address |
7505 GRAND AVE |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-1551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114924552 | Lake Shore Internal Medicine Sc | Internal Medicine | 7505 Grand Ave, Gurnee, IL 60031-1551 | 2005-06-30 |
| 1912325796 | Shelly Verma | Family Medicine | 7505 Grand Ave, Gurnee, IL 60031 | 2014-03-31 |
| 1407295371 | David Morris Adlerstein | Family Medicine | 7505 Grand Ave, Gurnee, IL 60031-1551 | 2013-06-24 |
| 1871873778 | Amg Illinois Ltd | Durable Medical Equipment & Medical Supplies | 7505 Grand Ave, Gurnee, IL 60031-1551 | 2011-08-23 |
| 1942446752 | Excell Medical Center Sc | Health Maintenance Organization | 7505 Grand Ave, Gurnee, IL 60031-1551 | 2008-12-29 |
| 1659547172 | Gurnee Stone Medical Center PC | Health Maintenance Organization | 7505 Grand Ave, Gurnee, IL 60031-1551 | 2008-05-05 |
| 1205005717 | Gurnee Stone Medical Center P.c | Clinic/Center | 7505 Grand Ave, Gurnee, IL 60031-1551 | 2008-02-28 |
| 1922286210 | Gurnee Surgicare LLC | Clinic/Center | 7505 Grand Ave, Gurnee, IL 60031-1551 | 2008-02-08 |
| 1487774238 | Stone Medical Surgery Care Center LLC | Clinic/Center | 7505 Grand Ave, Gurnee, IL 60031-1551 | 2007-03-29 |
| 1104824085 | Elizabeth A Hatfield | Emergency Medicine | 7505 Grand Ave, Gurnee, IL 60031-1551 | 2005-07-13 |
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| 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 |
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| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093270324 | Ashira Dermatology LLC of Ashira Industries LLC | Dermatology | 135 N Greenleaf St Ste 204&209, Gurnee, IL 60031-3393 | 2019-01-31 |
| 1780806091 | David B. Shanker, M.d. | Dermatology | 1425 N Hunt Club Rd Ste 204, Gurnee, IL 60031-2635 | 2007-05-03 |
| 1164494183 | Neda Zergollern Tkalcevic | Dermatology | 30 Tower Ct Ste C, Greenleaf Center, Gurnee, IL 60031-3322 | 2006-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1063030252 | Vitalskin Medical Group Il Pllc | Dermatology | 1111 W Kenyon Rd, Urbana, IL 61801-1010 | 2020-07-14 |
| 1447873831 | Derick Dermatology, LLC | Dermatology | 5250 Old Orchard Rd Ste 110, Skokie, IL 60077-4461 | 2020-05-20 |
| 1346869393 | Julia Katsnelson Md Sc | Dermatology | 231 Olde Half Day Rd, Lincolnshire, IL 60069-2906 | 2020-04-10 |
| 1114551983 | Katherine Janezic | Dermatology | 7447 W Talcott Ave Ste 425, Chicago, IL 60631-3704 | 2020-03-02 |
| 1013559400 | Orsini Surgical Dermatology Sc | Dermatology | 1519 Legacy Cir, Naperville, IL 60563-3161 | 2019-10-17 |
| 1124675244 | Kiracofe Md Medical, LLC | Dermatology | 719 South Blvd # 2903, Oak Park, IL 60302-2903 | 2019-08-22 |
| 1366009664 | Derick Dermatology | Dermatology | 1900 Spring Rd Ste 210, Oak Brook, IL 60523-9063 | 2019-05-22 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1891257853 | Maria Estela Martinez Escala | Dermatology | 5841 S Maryland Ave Ste Mc5067, Chicago, IL 60637-1443 | 2019-04-01 |
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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.