DR. DANIEL A LIESEN (NPI# 1386747731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386747731 |
| Entity Type | Individual |
| Full Name | DR. DANIEL A LIESEN |
| Credential | MD |
| Practice Address |
20 Tower Ct Ste A Gurnee IL 60031-5711 |
| Practice Telephone | 8472443525 |
| Practice Fax Number | 8472443560 |
| Mailing Telephone | 8472443525 |
| Mailing Fax Number | 8472443560 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2019-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 036115999 | IL | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
036115999 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LICENSE | 036115999 | 01 |
| Street Address |
20 TOWER CT STE A |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-5711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003817180 | Fred B Rosenberg | Internal Medicine | 20 Tower Ct, Suite C, Gurnee, IL 60031-5711 | 2005-08-10 |
| 1700288164 | Geena R. Patel Dds PC | Dentist | 20 Tower Ct, Suite D, Gurnee, IL 60031-5711 | 2014-09-17 |
| 1144587973 | Jg Johnson Chiropractic Office PC | Chiropractor | 20 Tower Ct, Suite B, Gurnee, IL 60031-5711 | 2012-04-18 |
| 1811150725 | Jonathan Alan Rosenberg | Internal Medicine | 20 Tower Ct, Suite C, Gurnee, IL 60031-5711 | 2008-07-10 |
| 1316111388 | Rashmikant S.patel M.d.s.c. | Clinic/Center | 20 Tower Ct, Suite D, Gurnee, IL 60031-5711 | 2008-04-21 |
| 1386818557 | Dor Heart & Vascular, PC | Internal Medicine | 20 Tower Ct, Suite F, Gurnee, IL 60031-5711 | 2008-04-17 |
| 1437333747 | Scheer Surgical Sc | Surgery | 20 Tower Ct, Suite A, Gurnee, IL 60031-5711 | 2007-12-21 |
| 1467578294 | Lake Shore Gastroenterology | Internal Medicine | 20 Tower Ct, Suite C, Gurnee, IL 60031-5711 | 2007-03-22 |
| 1215063144 | Lake Shore Gastroenterolgy Sc | Pathology | 20 Tower Ct, Suite C, Gurnee, IL 60031 | 2007-02-26 |
| 1922184225 | Jeffrey Glen Johnson | Chiropractor | 20 Tower Ct, Suite B, Gurnee, IL 60031-5711 | 2006-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
| Find all providers in zip 60031 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437333747 | Scheer Surgical Sc | Surgery | 20 Tower Ct, Suite A, Gurnee, IL 60031-5711 | 2007-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467986901 | Congress Vein Clinic LLC | Surgery | 41 W Congress Pkwy, 1st Floor, Chicago, IL 60605-1531 | 2017-04-11 |
| 1124029095 | Gary J Merlotti | Surgery | 840 S Wood Street, Csb - Mc 958 - Ste 616, Chicago, IL 60612 | 2005-08-02 |
| 1457357592 | Michael J Kikta | Surgery | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2005-06-23 |
| 1467067942 | Francesca Bryan | Surgery | 1950 W Polk St Ste 5210, Chicago, IL 60612-3723 | 2020-09-11 |
| 1528486032 | Jacqueline Ann Kalmoe | Surgery | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-5085 | 2014-04-01 |
| 1467713248 | Jacob Baruch Avraham | Surgery | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-5085 | 2012-06-07 |
| 1053677047 | Antonio Desean Lozada | Surgery | 305 W Jackson St Ste 302, Carbondale, IL 62901 | 2012-04-04 |
| 1548579576 | West Suburban Surgical, S.c. | Surgery | 1315 N Highland Ave, Suite 203, Aurora, IL 60506-1400 | 2010-09-24 |
| 1740514140 | Emergency Surgical Services of Lake County LLC | Surgery | 1870 W Winchester Rd, Suite 112, Libertyville, IL 60048-5358 | 2009-10-01 |
| 1124255856 | Michael James Anstadt | Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2009-06-21 |
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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.