KIM M CARNAZZOLA MD SC (NPI# 1902104037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902104037 |
| Entity Type | Organization |
| Organization Name | KIM M CARNAZZOLA MD SC |
| Practice Address |
1860 W Winchester Rd Suite 109 Libertyville IL 60048-5351 |
| Practice Telephone | 8479960607 |
| Practice Fax Number | 8479960608 |
| Mailing Telephone | 8479960607 |
| Mailing Fax Number | 8479960608 |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2012-04-19 |
| Authorized Official Name | DR. KIM M CARNAZZOLA (PRESIDENT) |
| Authorized Official Telephone | 8479960607 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036085955 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1860 W WINCHESTER RD SUITE 109 |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-5351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740281831 | Joyce Muni | Ophthalmology | 1860 W Winchester Rd, Suite 105, Libertyville, IL 60048-5312 | 2005-08-10 |
| 1942707369 | Photini Sikaras | Counselor | 1860 W Winchester Rd, Libertyville, IL 60048-5351 | 2018-04-11 |
| 1619371630 | Sarah Vrenios | Specialist/Technologist | 1860 W Winchester Rd, Libertyville, IL 60048-5351 | 2014-10-20 |
| 1427457415 | Laura Hexamer | Occupational Therapist | 1860 W Winchester Rd, Suite 108, Libertyville, IL 60048-5351 | 2014-08-15 |
| 1245574466 | Christine Nicole Friedrichs | Speech-Language Pathologist | 1860 W Winchester Rd, Suite 108, Libertyville, IL 60048-5351 | 2012-11-15 |
| 1558660035 | Meghan Matthews | Speech-Language Pathologist | 1860 W Winchester Rd, Suite 108, Libertyville, IL 60048-5351 | 2011-03-23 |
| 1528217510 | Amy F Salerno | Speech-Language Pathologist | 1860 W Winchester Rd, Libertyville, IL 60048-5351 | 2008-09-15 |
| 1821257619 | Hope Freeland | Speech-Language Pathologist | 1860 W Winchester Rd, Suite 108, Libertyville, IL 60048-5351 | 2008-06-05 |
| 1639342140 | David J Ventrelle | Psychologist | 1860 W Winchester Rd, Suite 101, Libertyville, IL 60048-5351 | 2008-04-04 |
| 1710158563 | Lena Carolyn Peterson | Occupational Therapist | 1860 W Winchester Rd, Suite 108, Libertyville, IL 60048-5351 | 2008-03-20 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922595107 | Dr Zhongs Family Care | Family Medicine | 755 S Milwaukee Ave Ste 175, Libertyville, IL 60048-3281 | 2018-04-13 |
| 1225304322 | Katherine M Blake | Family Medicine | 1860 W Winchester Rd Ste 109, Libertyville, IL 60048-5312 | 2012-03-22 |
| 1508163031 | Waldemar Mysiak Md Sc | Family Medicine | 755 S Milwaukee Ave Ste 261, Libertyville, IL 60048-3266 | 2011-02-18 |
| 1497915391 | Robert Paul Dambrosio | Family Medicine | 1864 Torrey Pkwy, Libertyville, IL 60048-1034 | 2008-06-13 |
| 1306919147 | Dennis Anthony Grollo | Family Medicine | 535 W Park Ave, Libertyville, IL 60048-2600 | 2006-11-17 |
| 1265537393 | George Bernard Elvove | Family Medicine | 1029 W Park Ave, Libertyville, IL 60048-2550 | 2006-09-13 |
| 1477548782 | Daniel Joseph Lynch | Family Medicine | 1850 W Winchester Rd, Suite 220, Libertyville, IL 60048-5355 | 2005-09-13 |
| 1740272988 | William R Greenfield | Family Medicine | 716 S Milwaukee Ave, Libertyville, IL 60048-3225 | 2005-08-15 |
| 1144212382 | William A Martinez | Family Medicine | 1870 W Winchester Rd, Suite 145, Libertyville, IL 60048-5358 | 2005-08-15 |
| 1396742060 | Christopher E.c. Harris | Family Medicine | 303 E Park Ave, Libertyville, IL 60048-2872 | 2005-07-07 |
| Find all providers in LIBERTYVILLE | ||||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
Please comment or provide details below to improve the information on KIM M CARNAZZOLA MD SC.
| 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.