MUGUREL VALENTIN BAZAVAN (NPI# 1255562146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255562146 |
| Entity Type | Individual |
| Full Name | MUGUREL VALENTIN BAZAVAN |
| Credential | MD |
| Practice Address |
1000 N Westmoreland Rd Lake Forest IL 60045-1658 |
| Mailing Address |
8854 N Grace Ave Unit 2nw Niles IL 60714-1410 |
| Practice Telephone | 8475343278 |
| Mailing Telephone | 7736535017 |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2019-12-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 125056600 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036129235 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2701 Patriot Blvd, Glenview, IL 600268039 | 8475357157 | |
| 4646 N Marine Dr, Chicago, IL 606405759 | 7735647400 | 7735647401 |
| Street Address |
1000 N WESTMORELAND RD |
| City | LAKE FOREST |
| State | IL |
| Zip Code | 60045-1658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124025176 | Northwestern Lake Forest Hospital | General Acute Care Hospital | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2005-07-06 |
| 1528676467 | Wendy Sue Tokarz | Registered Nurse | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2020-07-16 |
| 1407479579 | Victoria Nguyen | Registered Nurse | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2020-05-24 |
| 1033739040 | Alexandra Jillayne Giedd | Student in an Organized Health Care Education/Training Program | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2020-04-20 |
| 1144867441 | Brandon Stuart Blackwood | Nurse Practitioner | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2019-12-05 |
| 1619512019 | Robert William Radtke IIi | Physician Assistant | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2019-11-10 |
| 1972145001 | Steffy James | Family Medicine | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2019-10-10 |
| 1720631559 | Brianna Nicole Selimos | Plastic Surgery | 1000 N Westmoreland Rd, Lake Forest, IL 60045 | 2019-07-21 |
| 1679137855 | Sylvia Joanna Wier | Plastic Surgery | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2019-04-23 |
| 1477038347 | Jennifer Nicole Nelson | Nurse Practitioner | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2018-09-26 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1184979973 | Optimal Health Medical of Orange County | Internal Medicine | 23101 Lake Center Dr Ste 130, Suite 100, Lake Forest, CA 92630-2874 | 2012-07-17 |
| 1275722373 | Jay H. Kleiman | Internal Medicine | 1875 S James Ct N, Lake Forest, IL 60045-4624 | 2007-10-15 |
| 1912008418 | Stephen P Wiet | Internal Medicine | 1000 N Westmoreland Rd # Level1, Lake Forest, IL 60045-1658 | 2006-09-26 |
| 1912944133 | Ian D Cohen | Internal Medicine | 800 N Westmoreland Road Suite 102, Lake Forest, IL 60045-1673 | 2006-05-31 |
| 1285628859 | John William Benge | Internal Medicine | 800 N Westmoreland Rd, Suite 102, Lake Forest, IL 60045-1673 | 2005-09-09 |
| 1659790004 | Ansel Philip Amaral | Internal Medicine | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2014-04-14 |
| 1922342245 | Lake Forest Cardiology LLC | Internal Medicine | 611 Hunter Ln, Lake Forest, IL 60045-4905 | 2012-11-27 |
| 1437434800 | Lake Forest Cardiology | Internal Medicine | 611 Hunter Ln, Lake Forest, IL 60045-4905 | 2011-10-18 |
| 1699940932 | Sukit Mayur Ringwala | Internal Medicine | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2008-04-28 |
| 1538181821 | Edwin Wu | Internal Medicine | 800 N Westmoreland Rd, Suite 102, Lake Forest, IL 60045-1673 | 2006-07-24 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 60045 |
Please comment or provide details below to improve the information on MUGUREL VALENTIN BAZAVAN.
| 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.