DR. ISAAC DOR (NPI# 1982718409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982718409 |
Entity Type | Individual |
Full Name | DR. ISAAC DOR |
Credential | M.D. |
Practice Address |
1790 Nations Dr Ste 111 Gurnee IL 60031-9175 |
Mailing Address |
Po Box 2257 Chesterton IN 46304-0357 |
Practice Telephone | 2246565867 |
Mailing Telephone | 2199268320 |
Enumeration Date | 2006-08-19 |
Last Update Date | 2012-11-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036101942 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BCBS OF IL | 708520 | 01 |
IL | 036101942 | 05 |
Street Address |
1790 NATIONS DR STE 111 |
City | GURNEE |
State | IL |
Zip Code | 60031-9175 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093074155 | Comprehensive Cardiovascular Care, LLC | Internal Medicine | 1790 Nations Dr Ste 111, Gurnee, IL 60031-9175 | 2012-05-10 |
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 | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922096056 | Samarendra Chandel | Internal Medicine | 3915 Oglesby Ave Ste 1, Heart and Vascular Center, Gurnee, IL 60031-3358 | 2005-10-12 |
1285628982 | Charles E Jaffe | Internal Medicine | 35 Tower Ct, Ste F, Gurnee, IL 60031-5712 | 2005-09-08 |
1346659596 | Lakeshore Heart & Vascular Specialists | Internal Medicine | 3915 Oglesby Ave, Gurnee, IL 60031 | 2014-08-12 |
1093074155 | Comprehensive Cardiovascular Care, LLC | Internal Medicine | 1790 Nations Dr Ste 111, Gurnee, IL 60031-9175 | 2012-05-10 |
1457584450 | North Lake Cardiovascular Center PC | Internal Medicine | 310 S Greenleaf St, Suite 212, Gurnee, IL 60031-5708 | 2009-08-25 |
1386818557 | Dor Heart & Vascular, PC | Internal Medicine | 20 Tower Ct, Suite F, Gurnee, IL 60031-5711 | 2008-04-17 |
1740210533 | Timothy J Mcdonough | Internal Medicine | 3915 Oglesby Ave, Suite 1, Gurnee, IL 60031-3358 | 2006-07-04 |
1629063391 | Lake Heart Specialists | Internal Medicine | 35 Tower Ct, Suite F, Gurnee, IL 60031-5712 | 2005-09-19 |
1962497974 | Robert J Koch | Internal Medicine | 35 Tower Ct, Ste F, Gurnee, IL 60031-5712 | 2005-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528596350 | Stat Cardiologist Inc | Internal Medicine | 2425 W 22nd St Ste 209, Oak Brook, IL 60523-4655 | 2017-05-24 |
1306296074 | Safwan Gaznabi | Internal Medicine | Northshore University Healthsystem, Office of Academic Affairs 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2016-06-14 |
1154796290 | Ray Jean Pensinger | Internal Medicine | 105 S. Fleming Rd., Woodstock, IL 60098-7903 | 2015-12-01 |
1073905311 | Cardio Medical Center Sc | Internal Medicine | 7746 West Madison Ave, Forrest Park, IL 60131 | 2015-02-24 |
1427457399 | Charles Joseph Frahm | Internal Medicine | 1200 E Madison Park, Chicago, IL 60615-2961 | 2014-08-17 |
1225447725 | Jeremy R. Estrada | Internal Medicine | 5841 S Maryland Ave # Mc5841, Chicago, IL 60637-1447 | 2014-08-08 |
1285049197 | Nidhi Madan | Internal Medicine | 1717 W Congress Pkwy Ste 317, Chicago, IL 60612 | 2014-06-30 |
1295159184 | Ca Group, LLC | Internal Medicine | 4017 Illinois Route 159, Suite 101, Smithton, IL 62285 | 2014-02-12 |
1457788424 | Chicago Vascular Clinic Ltd | Internal Medicine | 812 E Woodfield Rd, Schaumburg, IL 60173-4714 | 2013-10-04 |
1942634688 | Vein Md Consultants, LLC | Internal Medicine | 1865 N. Eltnor Blvd., West Chicago, IL 60185-5900 | 2013-08-29 |
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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.