KEN DIZON (NPI# 1184172488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184172488 |
| Entity Type | Individual |
| Full Name | KEN DIZON |
| Practice Address |
660 N Westmoreland Rd Lake Forest IL 60045-1659 |
| Mailing Address |
380 Rock Hall Cir Grayslake IL 60030-1102 |
| Practice Telephone | 8472345600 |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 041382652 | IL | Nursing Service Providers |
| Street Address |
660 N WESTMORELAND RD |
| City | LAKE FOREST |
| State | IL |
| Zip Code | 60045-1659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588661318 | Regis J Weiss | Obstetrics & Gynecology | 660 N Westmoreland Rd, Suite 306, Lake Forest, IL 60045-1659 | 2005-07-07 |
| 1508377532 | Meghan Strand | Physician Assistant | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2017-10-17 |
| 1538689864 | Amanda D Froeming | Physician Assistant | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2017-06-27 |
| 1639608409 | Kristin Rae Elinski | Physician Assistant | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2017-06-06 |
| 1386173235 | Erika L Tait | Physician Assistant | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2017-06-05 |
| 1437685252 | Melissa Kathryn Demiglio | Physician Assistant | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2017-05-11 |
| 1891231312 | Jill Alden | Clinical Nurse Specialist | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2017-01-07 |
| 1588108203 | Sarah Latoria | Nurse Practitioner | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2016-12-14 |
| 1194182949 | Meagan Reitz | Physician Assistant | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2016-01-25 |
| 1285090670 | Michelle Young | Dietitian, Registered | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2016-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851931109 | Spine & Wellness Clinic, Inc. | Chiropractor | 775 N Bank Lane Suite 101, Lake Forest, IL 60045 | 2020-01-14 |
| 1184278640 | Mary Belluomini Dipietro | Dietitian, Registered | 1000 North Westmoreland Rd., Lake Forest, IL 60045 | 2019-08-01 |
| 1336621747 | Brook Elizabeth Orvis | Physical Therapist | 1000 N Westmoreland Road, 2nd Floor, Pavilion B, Lake Forest, IL 60045 | 2018-08-31 |
| 1336621028 | Michelle Nebel | Audiologist | 225 East Deerpath, Suite 223, Lake Forest, IL 60045 | 2018-08-30 |
| 1467951731 | Devan Keesling | Audiologist | 800 N Westmoreland Rd Ste Ll30, Lake Forest, IL 60045 | 2018-02-01 |
| 1023516796 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Westmoreland Rd Ste A, Lake Forest, IL 60045 | 2018-01-29 |
| 1275056780 | Karen Elizabeth Cohen | Counselor | 1331 S. Estate Lane, Lake Forest, IL 60045 | 2017-07-18 |
| 1497281711 | Caroline Connors | Speech-Language Pathologist | 660 Westmoreland Road, Lake Forest, IL 60045 | 2017-05-05 |
| 1013453406 | Katie L Konopacz | Nurse Practitioner | 1000 N Westmoreland Rd # B, Lake Forest, IL 60045 | 2017-01-10 |
| 1225424575 | Sean Robert Wessel | Internal Medicine | 1000 N Westmoreland Rd Ste 3556, Lake Forest, IL 60045 | 2015-04-14 |
| Find all providers in zip 60045 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790023281 | Samantha Perkins | Registered Nurse | 21416 Lake Forest Dr, Apt F, Lake Forest, CA 92630-6044 | 2013-01-18 |
| 1972896736 | Maria Cristina Salak Teofilo | Registered Nurse | 21055 Paseo Vereda, Lake Forest, CA 92630-2120 | 2011-05-26 |
| 1689624454 | Hyunsook Kim | Registered Nurse | 720 W Kennedy Rd, Lake Forest, IL 60045-2027 | 2006-05-11 |
| 1528676467 | Wendy Sue Tokarz | Registered Nurse | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2020-07-16 |
| 1497126783 | Rebecca Lockhart Curry-edwards | Registered Nurse | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2015-10-13 |
| 1679956866 | Rachel Buchek | Registered Nurse | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2015-07-07 |
| 1518373117 | Adrienne Daugherty | Registered Nurse | 22471 Aspan St Ste 103, Lake Forest, CA 92630-1644 | 2014-07-03 |
| 1114351590 | Nancy Nozicka | Registered Nurse | 660 N Westmoreland Rd, Emergency Department, Lake Forest, IL 60045-1659 | 2013-08-21 |
| 1235271941 | Mariellen Patricia Antman | Registered Nurse | 800 N Westmoreland Rd, Suite 205, Lake Forest, IL 60045-1673 | 2007-02-12 |
| 1255408241 | Kathleen D Rylance | Registered Nurse | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2006-11-29 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 60045 |
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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.