DR. GARY EDWARD SCHAFFEL (NPI# 1336123884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336123884 |
| Entity Type | Individual |
| Full Name | DR. GARY EDWARD SCHAFFEL |
| Credential | M.D. |
| Practice Address |
900 N Westmoreland Rd Suite 104 Lake Forest IL 60045-1674 |
| Practice Telephone | 8472348100 |
| Practice Fax Number | 8472348199 |
| Mailing Telephone | 8472348100 |
| Mailing Fax Number | 8472348199 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2010-02-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036093564 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TAX IDENTIFICATION | 205568397 | 01 | |
| IL | 036093564 | 05 |
| Street Address |
900 N WESTMORELAND RD SUITE 104 |
| City | LAKE FOREST |
| State | IL |
| Zip Code | 60045-1674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366437352 | Sheri Ross | Pediatrics | 900 N Westmoreland Rd, 106, Lake Forest, IL 60045-1674 | 2005-09-15 |
| 1063821916 | Northwestern Medical Faculty Foundation | Optometrist | 900 N Westmoreland Rd, Lower Level 88, Lake Forest, IL 60045-1674 | 2014-08-05 |
| 1982958013 | Pediatrust, L.L.C. | Pediatrics | 900 N Westmoreland Rd, Suite 217, Lake Forest, IL 60045-1674 | 2012-10-26 |
| 1891093019 | James E Jupa Md Sc | Internal Medicine | 900 N Westmoreland Rd, Suite 108, Lake Forest, IL 60045-1674 | 2011-03-11 |
| 1205083383 | Envision Eye Center Ltd | Durable Medical Equipment & Medical Supplies | 900 N Westmoreland Rd, Suite Ll84, Lake Forest, IL 60045-1681 | 2008-08-20 |
| 1265695530 | Kelsey Grimmer | Physician Assistant | 900 N Westmoreland Rd, Ste 222, Lake Forest, IL 60045-1674 | 2008-07-08 |
| 1780856799 | Elizabeth Q Wang | Nurse Practitioner | 900 N Westmoreland Rd, Suite 110, Lake Forest, IL 60045-1674 | 2008-03-31 |
| 1700060704 | Justin J. Cohen | Urology | 900 N Westmoreland Rd, Suite 228, Lake Forest, IL 60045-1674 | 2007-12-27 |
| 1710179759 | Karen J Mass | Obstetrics & Gynecology | 900 N Westmoreland Rd, Suite 223, Lake Forest, IL 60045-1674 | 2007-08-14 |
| 1417157835 | Rosamaria Slominski | Specialist | 900 N Westmoreland Rd, Basement, Lake Forest, IL 60045-1674 | 2007-07-23 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1225424575 | Sean Robert Wessel | Internal Medicine | 1000 N Westmoreland Rd Ste 3556, Lake Forest, IL 60045 | 2015-04-14 |
| 1346534674 | Kelly Danielle Foster | Internal Medicine | 660 N Westmoreland Rd Ste 100, Lake Forest, IL 60045-1659 | 2011-06-03 |
| 1235431628 | Home Doctors Management | Internal Medicine | 611 Hunter, Lake Forest, IL 60045-4905 | 2010-11-17 |
| 1659683951 | Mohammed Siddique | Internal Medicine | 490 Turicum Rd, Lake Forest, IL 60045-3364 | 2010-07-02 |
| 1215266291 | Roopal B Thakkar | Internal Medicine | 1050 W Keswick Ln, Lake Forest, IL 60045-1138 | 2009-12-21 |
| 1598991218 | Diana Ilinskiy | Internal Medicine | 800 N Westmoreland Rd Ste 102, Lake Forest, IL 60045-1687 | 2009-06-09 |
| 1003022088 | Richard J Siebert, M.d.,s,c. | Internal Medicine | 700 N Westmoreland Rd Ste B, Lake Forest, IL 60045-1672 | 2007-05-15 |
| 1811032469 | Seema Widhani Bhatia | Internal Medicine | 10 W Westleigh Rd, Lake Forest, IL 60045-2802 | 2007-02-21 |
| 1184726499 | Amar Jyothi Peruri | Internal Medicine | 920 Country Place, Lake Forest, IL 60045 | 2006-09-05 |
| 1992807721 | Madineth Muy | Internal Medicine | 22621 Lake Forest Dr Ste D1, Lake Forest, CA 92630-1792 | 2006-09-02 |
| 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.