Daniel S Tresley (NPI# 1831182468, PAC ID# 2264562610) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
Nation Provider ID (NPI) | 1831182468 |
PAC ID by PECOS | 2264562610 |
Professional Enrollment ID | I20100610000591 |
Full Name | Daniel S Tresley |
Address |
661 Lake St Grayslake IL 60030-1471 |
Gender | M |
Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
Graduation Year | 1987 |
Primary Specialty | OPHTHALMOLOGY |
Secondary Specialties | PLASTIC AND RECONSTRUCTIVE SURGERY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140010 | NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL |
Address | Phone | Organization |
---|---|---|
661 Lake St, Grayslake, IL 60030-1471 | ||
777 Park Ave W, Highalnd Park, IL 60035-2433 | ||
500 Skokie Blvd, Suite 120, Northbrook, IL 60062-2849 |
Street Address |
661 LAKE ST |
City | GRAYSLAKE |
State | IL |
Zip | 60030-1471 |
Name | Specialty | Organization | Address |
---|---|---|---|
Diane E Petersen | Clinical Social Worker | Community Youth Network Inc | 18640 W Belvidere Rd, Suite 120, Grayslake, IL 60030 |
Gail M Weil | Clinical Social Worker | Community Youth Network Inc | 18640 W Belvidere Rd, Suite 120, Grayslake, IL 60030 |
Andrea Bercos | Clinical Social Worker | Community Youth Network Inc | 18640 W Belvidere Rd, Grayslake, IL 60030 |
Marty J Ziemer | Clinical Social Worker | 34140 N Hickory Ave, Grayslake, IL 60030-1016 | |
Griff J Winters | Podiatry | 770 Barron Blvd, Grayslake, IL 60030-1330 | |
Scott Damon Pouyat | Optometry | 661 N Lake St, Grayslake Eyecare, Grayslake, IL 60030-1471 | |
Leah Pendarvis | Psychologist, Clinical | 11 N Slusser St, Grayslake, IL 60030-1524 | |
Charles E Hutchcraft | Clinical Social Worker | Counseling Center of Grayslake Ltd | 106 Ctr St, Grayslake, IL 60030-1533 |
Julie A Pettinato | Clinical Social Worker | Counseling Center of Grayslake Ltd | 106 Ctr St, Grayslake, IL 60030-1533 |
Terrence Ray Miller | Chiropractic | 242 Ctr St, Grayslake, IL 60030-1535 | |
Find all physicians in zip 60030 |
City | GRAYSLAKE |
Zip Code | 60030 |
Specialty | OPHTHALMOLOGY |
City + Specialty | GRAYSLAKE + OPHTHALMOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.