Sergei Shevlyagin (NPI# 1235123589, PAC ID# 3870406010) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1235123589 |
| PAC ID by PECOS | 3870406010 |
| Professional Enrollment ID | I20031112000515 |
| Full Name | Sergei Shevlyagin |
| Address |
100 N Atkinson Rd Suite 207 Grayslake IL 60030-7804 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1981 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | DIAGNOSTIC RADIOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140202 | ADVOCATE CONDELL MEDICAL CENTER |
| 140130 | NORTHWESTERN LAKE FOREST HOSPITAL |
| 140010 | NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL |
| 140242 | CENTRAL DUPAGE HOSPITAL |
| 140252 | NORTHWEST COMMUNITY HOSPITAL 1 |
| Address | Phone | Organization |
|---|---|---|
| 100 N Atkinson Rd, Suite 207, Grayslake, IL 60030-7804 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
100 N ATKINSON RD SUITE 207 |
| City | GRAYSLAKE |
| State | IL |
| Zip | 60030-7804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence Todryk | Psychologist, Clinical | 100 N Atkinson Rd, Suite 110c, Grayslake, IL 60030-7805 | |
| Jeff S Arnold | Chiropractic | 100 N Atkinson Rd, 104a, Grayslake, IL 60030-7805 | |
| Lura J Arnold | Chiropractic | 100 N Atkinson Rd, Grayslake, IL 60030-7805 |
| 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 | |
| Daniel S Tresley | Ophthalmology | 661 Lake St, 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 |
| Find all physicians in zip 60030 | |||
| City | GRAYSLAKE |
| Zip Code | 60030 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | GRAYSLAKE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Sergei Shevlyagin.
| 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.