Warren G Kruckmeyer (NPI# 1023002383, PAC ID# 2961582135) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1023002383 |
| PAC ID by PECOS | 2961582135 |
| Professional Enrollment ID | I20071231000481 |
| Full Name | Warren G Kruckmeyer |
| Organization Legal Name | ADVOCATE HEALTH AND HOSPITALS CORPORATION |
| Address |
801 S Milwaukee Ave Libertyville IL 60048-3204 |
| Phone Number | 8472790061 |
| Gender | M |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7810800935 |
| Number of Group Practice Members | 1681 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140291 | ADVOCATE GOOD SHEPHERD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 214 Mchenry Rd, Buffalo Grove, IL 60089-6748 | 8474591160 | ADVOCATE HEALTH AND HOSPITALS CORPORATION |
| 801 S Milwaukee Ave Bldg, Suite 880, Libertryville, IL 60048-3204 | 8479905910 | ADVOCATE HEALTH AND HOSPITALS CORPORATION |
| 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 8472790061 | ADVOCATE HEALTH AND HOSPITALS CORPORATION |
| Organization Legal Name | ADVOCATE HEALTH AND HOSPITALS CORPORATION |
| Physicians | 1766 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Renee Jorgenson | Internal Medicine | Advocate Health and Hospitals Corporation | 4025 N Western Ave, Chicago, IL 60618-3726 |
| Philip C Gutsell | Family Medicine | Advocate Health and Hospitals Corporation | 4600 N Ravenswood Ave, Chicago, IL 60640-4510 |
| Jaclyn Catanese | Nurse Practitioner | Advocate Health and Hospitals Corporation | 1425 N Randall Rd, Elgin, IL 60123-2300 |
| Michael John Duchaj | Physical Therapy | Advocate Health and Hospitals Corporation | 13900 Quality Dr, Huntley, IL 60142-8098 |
| Andrea Pawlak | Nurse Practitioner | Advocate Health and Hospitals Corporation | 4740 W 95th St, Oak Lawn, IL 60453-2530 |
| Mandy Fila | Registered Dietitian Or Nutrition Professional | Advocate Health and Hospitals Corporation | 2210 W 95th St, Chicago, IL 60643-1002 |
| Ilia Rosa Sumoza | Hematology/oncology | Advocate Health and Hospitals Corporation | 2622 83rd St, Darien, IL 60561-1661 |
| Lara K Nicol | Family Medicine | Advocate Health and Hospitals Corporation | 2511 N Kedzie Blvd, Chicago, IL 60647-2603 |
| Julieta Lasala | Family Medicine | Advocate Health and Hospitals Corporation | 100 W 162nd St, Advocate Medical Group South Holland, South Holland, IL 60473-2003 |
| Kelly L Perisin | Nurse Practitioner | Advocate Health and Hospitals Corporation | 910 N Rand Rd, Lake Zurich, IL 60047-3201 |
| Street Address |
801 S MILWAUKEE AVE |
| City | LIBERTYVILLE |
| State | IL |
| Zip | 60048-3204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna M Stegemann | Anesthesiology | Midwest Anesthesia Partners LLC | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 |
| Anastasia Figura | Emergency Medicine | Ihc Libertyville Emergency Physicians LLC | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 |
| Taylor Morgan Skala | Physician Assistant | Advocate Health and Hospitals Corporation | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 |
| Dean J Conterato | Radiation Oncology | Radiation Oncology Consultants, Ltd | 801 S Milwaukee Ave, Suite 880, Libertyville, IL 60048-3204 |
| Ginna J Kim | Certified Registered Nurse Anesthetist (crna) | Midwest Anesthesia Partners LLC | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 |
| Rachel E Kadar | Critical Care (intensivists) | Pulmonary Medicine Associates Sc | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 |
| Eki O Drake | Nurse Practitioner | Best Practices Inpatient Care,ltd | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 |
| Robert B Johnson | Cardiovascular Disease (cardiology) | Advocate Health and Hospitals Corporation | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 |
| Klara Major | Nurse Practitioner | Advocate Health and Hospitals Corporation | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 |
| Joseph Anthony | Certified Registered Nurse Anesthetist (crna) | Midwest Anesthesia Partners LLC | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 |
| Find all physicians in the same address | |||
| 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 | FAMILY MEDICINE |
| City + Specialty | LIBERTYVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Warren G Kruckmeyer.
| 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.