WAUKEGAN DIALYSIS ASSOCIATES PTR KANG YANN LIN GEN PTR (NPI# 1003886227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003886227 |
| Entity Type | Organization |
| Organization Name | WAUKEGAN DIALYSIS ASSOCIATES PTR KANG YANN LIN GEN PTR |
| Practice Address |
1616 Grand Ave Ste A Waukegan IL 60085 |
| Practice Telephone | 8476230032 |
| Practice Fax Number | 8476230505 |
| Mailing Telephone | 8476230032 |
| Mailing Fax Number | 8476230505 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2010-06-09 |
| Authorized Official Name | JOHN PETER FREELAND (NEPHROLOGY PHYSICIAN & INTERNAL MED) |
| Authorized Official Telephone | 8476230032 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036049794 | 05 |
| Street Address |
1616 GRAND AVE STE A |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255324786 | Kang-yann Lin | Internal Medicine | 1616 Grand Ave, Suite A, Waukegan, IL 60085-3600 | 2005-08-30 |
| 1184801748 | Pessoolal S Chhabria | Psychiatry & Neurology | 1616 Grand Ave, 103, Waukegan, IL 60085-3600 | 2008-01-25 |
| 1932263449 | Kang Yann Lin M.d. Ltd | Specialist | 1616 Grand Ave, Ste A, Waukegan, IL 60085-3676 | 2006-12-20 |
| 1033104807 | John P Freeland | Internal Medicine | 1616 Grand Ave, Suite A, Waukegan, IL 60085-3600 | 2005-09-16 |
| 1639163686 | Lake County Neurological Associates Ltd | Psychiatry & Neurology | 1616 Grand Ave, Suite # 103, Waukegan, IL 60085-3600 | 2005-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
| 1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
| 1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
| 1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
| 1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
| 1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
| 1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
| 1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
| Find all providers in zip 60085 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1154470243 | John P Freeland Md Sc | Internal Medicine | 1616 Grand Avenue, Waukegan, IL 60085 | 2007-01-09 |
| 1659458594 | Steven S. Guest | Internal Medicine | 1620 Waukegan Rd, Waukegan, IL 60085-6730 | 2006-10-31 |
| 1255324786 | Kang-yann Lin | Internal Medicine | 1616 Grand Ave, Suite A, Waukegan, IL 60085-3600 | 2005-08-30 |
| 1700939535 | Bruce Frazin Mdsc | Internal Medicine | 1616 Grand Avenue, Waukegan, IL 60085 | 2007-01-18 |
| 1033104807 | John P Freeland | Internal Medicine | 1616 Grand Ave, Suite A, Waukegan, IL 60085-3600 | 2005-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154987618 | Kireet Agrawal Incorporated | Internal Medicine | 17680 Kedzie Ave Ste 201, Hazel Crest, IL 60429-2088 | 2019-05-10 |
| 1235627332 | Chicago Nephrology Associates, LLC | Internal Medicine | 3023 N Clark St #302, Chicago, IL 60657 | 2018-04-25 |
| 1619328820 | Nay Seif | Internal Medicine | 675 N Saint Clair St Ste 250, Chicago, IL 60611-5975 | 2016-06-29 |
| 1447611389 | Skyline Medical Associates LLC | Internal Medicine | 100 E 14th St Apt 1907, Chicago, IL 60605-3673 | 2016-03-18 |
| 1013301605 | Anand Ramadorai | Internal Medicine | 1550 N Northwest Hwy Ste 303, Park Ridge, IL 60068-1460 | 2015-03-23 |
| 1578955654 | R. Gandhi Md S C | Internal Medicine | 602 N East Ave, Oak Park, IL 60302-1716 | 2015-02-25 |
| 1619389715 | Kidney Care Center Olympia Fields LLC | Internal Medicine | 3302 Vollmer Rd, Olympia Fields, IL 60461-1179 | 2014-05-22 |
| 1548687783 | Salim Mujais | Internal Medicine | 2742 The Mews, Northbrook, IL 60062-2617 | 2014-03-26 |
| 1972936581 | Marshall David Lindheimer | Internal Medicine | 5807 S Dorchester Ave, 5e, Chicago, IL 60637-1729 | 2013-08-19 |
| 1649616822 | Bun Siu L. Co | Internal Medicine | 838 Highland Rd., Frankfort, IL 60423 | 2013-05-15 |
| Find all providers with the same taxonomy | ||||
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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.