MICHAEL H FRETZIN (NPI# 1134118987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134118987 |
| Entity Type | Individual |
| Full Name | MICHAEL H FRETZIN |
| Credential | MD |
| Practice Address |
600 W Lake Cook Rd Suite 110 Buffalo Grove IL 60089-2089 |
| Practice Telephone | 8474596611 |
| Practice Fax Number | 8474597929 |
| Mailing Telephone | 8474596611 |
| Mailing Fax Number | 8474597929 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2015-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 036102194 | IL | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
036102194 | IL | Allopathic & Osteopathic Physicians |
| N | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
036102194 | IL | Allopathic & Osteopathic Physicians |
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
036-102194 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
600 W LAKE COOK RD SUITE 110 |
| City | BUFFALO GROVE |
| State | IL |
| Zip Code | 60089-2089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770587206 | Scott David Glazer | Dermatology | 600 W Lake Cook Rd, Ste 110, Buffalo Grove, IL 60089-2089 | 2005-06-13 |
| 1386099091 | Kristin Bean | Physician Assistant | 600 W Lake Cook Rd, Suite 120, Buffalo Grove, IL 60089-2089 | 2016-05-01 |
| 1740658228 | Paige Lepp | Nurse Practitioner | 600 W Lake Cook Rd, Ste 110, Buffalo Grove, IL 60089-2089 | 2015-09-14 |
| 1144613357 | Paige Zivin | Nurse Practitioner | 600 W Lake Cook Rd, Suiter 110, Buffalo Grove, IL 60089-2089 | 2015-03-12 |
| 1497143523 | Scott D. Glazer, M.d., S.c. | Nurse Practitioner | 600 W Lake Cook Rd, Suiter 110, Buffalo Grove, IL 60089-2089 | 2014-12-23 |
| 1952705964 | Laura Anne Lopez | Physician Assistant | 600 W Lake Cook Rd, Suite #120, Buffalo Grove, IL 60089-2089 | 2014-10-20 |
| 1306256953 | Diane Beth Torbeck | Physician Assistant | 600 W Lake Cook Rd, Buffalo Grove, IL 60089-2089 | 2014-05-05 |
| 1023275294 | Penny Grillos | Physician Assistant | 600 W Lake Cook Rd, Buffalo Grove, IL 60089-2089 | 2008-05-16 |
| 1285803387 | Neha Bhupendra Shah | Physician Assistant | 600 W Lake Cook Rd, Suite 120, Buffalo Grove, IL 60089-2089 | 2008-02-22 |
| 1164507471 | Yan M Razdolsky | Dentist | 600 W Lake Cook Rd, Suite 150, Buffalo Grove, IL 60089-2089 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841795275 | Mary Elizabeth Strain, Phd LLC | Psychologist | 355 W Dundee Rd Ste 214, Buffalo Grove, IL 60089 | 2018-03-27 |
| 1861906067 | Pdi Medical IIi LLC | Pharmacy | 1623 Barclay Boulevard, Buffalo Grove, IL 60089 | 2017-11-27 |
| 1487165304 | Crystalann Sasha Thomas | Social Worker | 135 N Arlington Heights Rd., 104, Buffalo Grove, IL 60089 | 2017-10-18 |
| 1801315718 | Natalya Sagalov | Psychologist | 1283 Sandhurst Drive, Buffalo Grove, IL 60089 | 2017-09-12 |
| 1770035859 | Transport Auto Inc | Non-emergency Medical Transport (VAN) | 456 Chicory Ln, Buffalo Grove, IL 60089 | 2016-10-25 |
| 1982062535 | Eileen Fang | Occupational Therapist | 858 Horatio Blvd., Buffalo Grove, IL 60089 | 2016-02-10 |
| 1437538345 | Jamie Levin | Social Worker | 830 Belmar Lane, Buffalo Grove, IL 60089 | 2015-05-26 |
| 1669850756 | Cress Chiropractic Inc | Chiropractor | 1176 Mchenry Road, Buffalo Grove, IL 60089 | 2015-05-11 |
| 1801273123 | Vicki Lane Sheehan | Dentist | 2100 Lake Cook Rd., Suite 1100, Buffalo Grove, IL 60089 | 2015-05-06 |
| 1073918629 | Natalya Nagornaya Dds PC | Dentist | 472 Half Day Rd, Buffalo Grove, IL 60089 | 2014-10-24 |
| Find all providers in zip 60089 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376751255 | Beth Ann Adams | Dermatology | 1450 Busch Pkwy, Suite 103, Buffalo Grove, IL 60089-4541 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538313705 | Valeria Fugali | Dermatology | 1807 N Mohawk St, Unit B, Chicago, IL 60614-5213 | 2008-11-13 |
| 1922212539 | Neda Ashourian | Dermatology | 676 N. St. Clair Street, Suite 1600, Chicago, IL 60611-2997 | 2007-05-10 |
| 1972669109 | Raymond W Vahl | Dermatology | 11527 S Harlem Ave, Worth, IL 60482-2367 | 2006-12-30 |
| 1013983618 | David H Whitney | Dermatology | 3253 S Harlem Ave, Suite 1a, Berwyn, IL 60402-3073 | 2006-02-24 |
| 1205825056 | Amy L Brodsky | Dermatology | 2601 Compass Rd Ste 125, Glenview, IL 60026-8089 | 2005-10-14 |
| 1427589027 | Forefront Dermatology, S.c. | Dermatology | 1170 E Belvidere Rd, Suite 206, Grayslake, IL 60030 | 2017-03-24 |
| 1235685256 | Forefront Dermatology, S.c. | Dermatology | 2800 N Sheridan Rd, Suite 508, Chicago, IL 60657 | 2016-08-30 |
| 1750837761 | Forefront Dermatology, S.c. | Dermatology | 550 E Boughton Rd, Suite 170, Bolingbrook, IL 60440 | 2016-08-30 |
| 1871046995 | Forefront Dermatology, S.c. | Dermatology | 615 Valley View Dr, Suite 203, Moline, IL 61265 | 2016-07-25 |
| 1528430881 | Forefront Dermatology, S.c. | Dermatology | 507 W Kendall Dr, Suite 2, Yorkville, IL 60560 | 2015-10-27 |
| Find all providers with the same taxonomy | ||||
| City | BUFFALO GROVE |
| Zip Code | 60089 |
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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.