Annette Kathleen Lacey (NPI# 1780725572, PAC ID# 2466616487) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1780725572 |
| PAC ID by PECOS | 2466616487 |
| Professional Enrollment ID | I20120604000050 |
| Full Name | Annette Kathleen Lacey |
| Organization Legal Name | OMNI YOUTH SERVICES, INC |
| Address |
1860 W Winchester Rd Suite 101 Libertyville IL 60048-5312 |
| Phone Number | 2246762317 |
| Gender | F |
| Graduation Year | 2003 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 3678872702 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1860 W Winchester Rd, Suite 101, Libertyville, IL 60048-5312 | 2246762317 | OMNI YOUTH SERVICES, INC |
| Organization Legal Name | OMNI YOUTH SERVICES, INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Conway | Psychologist, Clinical | Omni Youth Services, Inc | 1860 W Winchester Rd, Suite 101, Libertyville, IL 60048-5312 |
| David J Ventrelle | Clinical Psychologist | Omni Youth Services, Inc | 1860 W Winchester Rd, Suite 101, Libertyville, IL 60048-5312 |
| Street Address |
1860 W WINCHESTER RD SUITE 101 |
| City | LIBERTYVILLE |
| State | IL |
| Zip | 60048-5312 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Conway | Psychologist, Clinical | Omni Youth Services, Inc | 1860 W Winchester Rd, Suite 101, Libertyville, IL 60048-5312 |
| Katherine Emerine | Family Medicine | Rosalind Franklin University Health | 1860 W Winchester Rd, Suite 109, Libertyville, IL 60048-5312 |
| Omar Dalloul | Nephrology | 1860 W Winchester Rd, Suite 107, Libertyville, IL 60048-5312 | |
| Joyce T Muni | Ophthalmology | 1860 W Winchester Rd, Suite 105, Libertyville, IL 60048-5312 | |
| David J Ventrelle | Clinical Psychologist | Omni Youth Services, Inc | 1860 W Winchester Rd, Suite 101, Libertyville, IL 60048-5312 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bharathi Swaminathan | Physical Medicine and Rehabilitation | 1419 Peterson Rd, Libertyville, IL 60048-1001 | |
| Svetlana F Pikus | Optometry | 1449 Peterson Rd, Libertyville, IL 60048-1001 | |
| Kerri A Kulovitz | Hand Surgery | Chicago Hand and Orthopedic Surgery Centers Sc | 1419 Peterson Rd, Libertyville, IL 60048-1001 |
| Dan M Young | Chiropractic | 283 Peterson Rd, Libertyville, IL 60048-1005 | |
| Danny Mclane | Chiropractic | Adio Chiropractic Clinic Sc | 316 Peterson Rd, Libertyville, IL 60048-1008 |
| Thomas L Conzelman | Chiropractic | Adio Chiropractic Clinic Sc | 316 Peterson Rd, Libertyville, IL 60048-1008 |
| Sara J Meline | Chiropractic | Adio Chiropractic Clinic Sc | 316 Peterson Rd, Libertyville, IL 60048-1008 |
| Elizabeth Nodine | Family Medicine | County of Lake | 18698 W Peterson Rd, Libertyville, IL 60048-1052 |
| Robin A Mathew | Nurse Practitioner | County of Lake | 18698 W Peterson Rd, Libertyville, IL 60048-1052 |
| Joshua B Nathan | Psychiatry | County of Lake | 18698 W Peterson Rd, Libertyville, IL 60048-1052 |
| Find all physicians in zip 60048 | |||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | LIBERTYVILLE + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Annette Kathleen Lacey.
| 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.