ROUND LAKE MEDICAL SUITES (NPI# 1861513822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861513822 |
| Entity Type | Organization |
| Organization Name | ROUND LAKE MEDICAL SUITES |
| Practice Address |
2 E Rollins Rd Suite 108 Round Lake Beach IL 60073-3808 |
| Practice Telephone | 8475469455 |
| Practice Fax Number | 8472472840 |
| Mailing Telephone | 8475469455 |
| Mailing Fax Number | 8472472840 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SUSAN GOODMAN (OFFICE MANAGER) |
| Authorized Official Telephone | 8479846452 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
42618258 | IL | Ambulatory Health Care Facilities |
| Street Address |
2 E ROLLINS RD SUITE 108 |
| City | ROUND LAKE BEACH |
| State | IL |
| Zip Code | 60073-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356448542 | Lake County Acute Care, LLP | Internal Medicine | 2 E Rollins Rd, Round Lake Beach, IL 60073-3808 | 2006-09-20 |
| 1700285079 | Rachel Samantha Goldberg | Dentist | 2 E Rollins Rd, Suite 202, Round Lake Beach, IL 60073-3808 | 2014-08-22 |
| 1114076791 | Agata Oczko Danguilan Md Sc | Clinic/Center | 2 E Rollins Rd, Suite 204, Round Lake Beach, IL 60073-3808 | 2007-01-10 |
| 1457415945 | Rebecca Walker Muir Schultz | Physical Therapist | 2 E Rollins Rd, Suite 106, Round Lake Beach, IL 60073 | 2006-12-20 |
| 1285701714 | Agata Oczko-danguilan | Internal Medicine | 2 E Rollins Rd, Suite 204, Round Lake Beach, IL 60073-3808 | 2006-11-29 |
| 1487734703 | Michael Siegel | Dentist | 2 E Rollins Rd, Suite 202, Round Lake Beach, IL 60073-3808 | 2006-10-17 |
| 1235219551 | Stephen T Reilly | Dentist | 2 E Rollins Rd, Round Lake Beach, IL 60073-3808 | 2006-10-17 |
| 1922193028 | Ermil Wagner | Family Medicine | 2 E Rollins Rd, Suite 103, Round Lake Beach, IL 60073-3808 | 2006-10-04 |
| 1295820314 | Ermil Wagner, D.o. P.C. | Family Medicine | 2 E Rollins Rd, Suite 103, Round Lake Beach, IL 60073-3808 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477280 | Marlene A Espinosa | Pharmacist | 2680 N, Il 83, Round Lake Beach, IL 60073 | 2020-11-02 |
| 1225637614 | Sharice Ellenwood | Counselor | 1087 N Village Dr, Round Lake Beach, IL 60073 | 2020-10-18 |
| 1013521301 | Self Connected Therapy LLC | Clinic/Center | 2189 N. Rt. 83, #292, Round Lake Beach, IL 60073 | 2020-09-03 |
| 1538710900 | Mykola Rudyk | Dentist | 425 N Wilson Rd, Round Lake, IL 60073 | 2019-09-26 |
| 1205344173 | Shamari Mentoring Company | Counselor | 1020 W Rollins Rd, Rould Lake Heights, IL 60073 | 2018-01-13 |
| 1770007007 | Mary Burnett | Physical Therapy Assistant | 512 S Jade Lane, Round Lake, IL 60073 | 2017-07-28 |
| 1881055549 | Irina Akimova | Community Health Worker | 715 W. Judd Street, Woodstock, IL 60073 | 2016-03-09 |
| 1487051751 | Lawrence Scire | Specialist | 800 High School Drive, Round Lake, IL 60073 | 2014-12-02 |
| 1659778090 | Giacchino James Lech II | Specialist/Technologist | 609 S Jade Ln, Round Lake, IL 60073 | 2014-12-01 |
| 1407265283 | Linda Lee Eaton | Massage Therapist | 650 S Curran Road, Round Lake, IL 60073 | 2014-08-06 |
| Find all providers in zip 60073 | ||||
| Taxonomy Code | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083972624 | Gastroenterology Services Endoscopy Suite, Ltd | Clinic/Center | 3825 Highland Ave Ste 203, Downers Grove, IL 60515-1561 | 2012-05-02 |
| 1144593369 | South Loop Endoscopy and Wellness Center LLC | Clinic/Center | 2334 S Wabash Ave, Chicago, IL 60616-2112 | 2012-02-18 |
| 1902017288 | Amg Endoscopy Center Ltd | Clinic/Center | 1105 W Park Ave Ste 1, Libertyville, IL 60048-2567 | 2007-05-25 |
| 1326310905 | G I Associates Endoscopy Ltd | Clinic/Center | 10500 S Cicero Ave, Oak Lawn, IL 60453-5205 | 2012-01-30 |
| 1962781252 | Ashland Avenue Gi, S.c. | Clinic/Center | 3004 N Ashland Ave, Chicago, IL 60657 | 2011-08-04 |
| 1790924306 | Central Illinois Endoscopy Center, LLC | Clinic/Center | 1001 Main St, Ste 530, Peoria, IL 61606-1907 | 2009-02-05 |
| 1427230416 | Summit Surgicare | Clinic/Center | 1s280 Summit Ave, Ct A, Oakbrook Terrace, IL 60181-3984 | 2007-11-30 |
| 1457410094 | Kgo Gi Inc | Clinic/Center | 3004 N Ashland Ave, Chicago, IL 60657-3012 | 2006-12-08 |
| City | ROUND LAKE BEACH |
| Zip Code | 60073 |
Please comment or provide details below to improve the information on ROUND LAKE MEDICAL SUITES.
| 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.