DR. BRIAN M MEDLEY (NPI# 1437221629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437221629 |
| Entity Type | Individual |
| Full Name | DR. BRIAN M MEDLEY |
| Credential | D.O. |
| Practice Address |
3880 Salem Lake Dr Ste F Long Grove IL 60047 |
| Mailing Address |
3880 Salem Lake Dr Ste F Long Grove IL 60047-5292 |
| Practice Telephone | 8477192220 |
| Practice Fax Number | 8477192265 |
| Mailing Telephone | 8477192220 |
| Mailing Fax Number | 8477192265 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2019-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036119793 | IL | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 036119793 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
036119793 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036119793 | 05 | |
| DEA FOR WORK IN ILLINOIS | FM0716778 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7435 W Talcott Ave, Chicago, IL 60631 | 7739906940 | |
| 3880 Salem Lake Dr, Ste F, Long Grove, IL 600475292 | 8477192220 | 8477192265 |
| Street Address |
3880 SALEM LAKE DR STE F |
| City | LONG GROVE |
| State | IL |
| Zip Code | 60047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265437230 | Robert J Longo | Internal Medicine | 3880 Salem Lake Dr, Ste F, Long Grove, IL 60047-5292 | 2005-06-16 |
| 1063998094 | Kelsey Lynn Freund | Physician Assistant | 3880 Salem Lake Dr, Long Grove, IL 60047 | 2018-07-12 |
| 1891240636 | Erin Marie Daly | Nurse Practitioner | 3880 Salem Lake Dr, Ste F, Long Grove, IL 60047-5292 | 2016-08-22 |
| 1669857512 | Jenna Spaeth | Physician Assistant | 3880 Salem Lake Dr, F, Long Grove, IL 60047-5292 | 2015-07-21 |
| 1518393388 | Dioma Udeoji | Internal Medicine | 3880 Salem Lake Dr, F, Long Grove, IL 60047-5292 | 2013-09-24 |
| 1821439316 | Roland Mariusz Kitlas | Internal Medicine | 3880 Salem Lake Dr, Suite F, Long Grove, IL 60047-5292 | 2013-07-11 |
| 1881034809 | Mahjabeen Khan | Internal Medicine | 3880 Salem Lake Dr, Suite F, Long Grove, IL 60047-5292 | 2013-07-05 |
| 1639519309 | Mazin Fattouhi | Internal Medicine | 3880 Salem Lake Dr, F, Long Grove, IL 60047-5292 | 2013-06-26 |
| 1649619768 | Melissa Long | Nurse Practitioner | 3880 Salem Lake Dr, F, Long Grove, IL 60047-5292 | 2013-06-21 |
| 1164868691 | Ava Mastny | Internal Medicine | 3880 Salem Lake Dr, F, Long Grove, IL 60047-5292 | 2013-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871142547 | Terry Solberg | Technician | 25 Robin Crest Rd, Hawthorn Woods, IL 60047 | 2019-09-05 |
| 1073083614 | Cody Colleen Todd | Counselor | 21361 W Brandon Rd, Kildeer, IL 60047 | 2018-11-27 |
| 1861983694 | Ahmad Family Primary Care, S.c. | Family Medicine | 350 Surryse Rd Ste 240, Lake Zurich, IL 60047 | 2018-05-29 |
| 1508371972 | Joy Anne Margolis | Speech-Language Pathologist | 4151 Robert Parker Coffin Rd, Long Grove, IL 60047 | 2017-12-07 |
| 1982118576 | Stephanie Marie Luebbe | Specialist/Technologist | 30 Seneca Ave W, Hawthorn Woods, IL 60047 | 2017-11-19 |
| 1447785498 | Kayla Stavnes | Student in an Organized Health Care Education/Training Program | 23537 N Garden Ln, Lake Zurich, IL 60047 | 2017-04-27 |
| 1104366491 | Lindsay Pearlman & Associates | Psychologist | 4160 Rte 83, Suite 307, Long Grove, IL 60047 | 2017-03-06 |
| 1164969929 | Lauren Christine Hallerud | Counselor | 4180 Il-83, Suite 10, Long Grove, IL 60047 | 2017-01-31 |
| 1790220820 | Long Grove Center for Emotional Health LLC | Counselor | 4180 Rfd, Suite 10, Long Grove, IL 60047 | 2016-12-28 |
| 1063960276 | Mars Healthcare LLC | Clinic/Center | 721 W Highway 22nd, Lake Zurich, IL 60047 | 2016-09-16 |
| Find all providers in zip 60047 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831516616 | Aspire Health Medical Partners of Illinois Sc | Internal Medicine | 25400 N Saint Marys Rd, Libertyville, IL 60048-9460 | 2014-03-18 |
| 1164686218 | Wilfredo Jose Romero Ubillus | Internal Medicine | 101 Madison St Ste 3, Oak Park, IL 60302 | 2008-07-17 |
| 1457566614 | Patricia Jean Ritzman | Internal Medicine | 410 S Hager Ave, Barrington, IL 60010-4107 | 2007-05-11 |
| 1609090448 | Richard Sloan Wilbur | Internal Medicine | 985 Hawthorne Pl, Lake Forest, IL 60045-2217 | 2007-04-12 |
| 1013039239 | Robert Lenet Md, Mai Phan Md, S.c | Internal Medicine | 150 E Huron St Ste 906, Chicago, IL 60611-2946 | 2007-04-06 |
| 1518906841 | Jenelyn Ching Lim | Internal Medicine | 1717 West Congress Pkwy, Suite 1125, Chicago, IL 60612 | 2006-06-05 |
| 1154371672 | Eytan Szmuilowicz | Internal Medicine | 233 E Superior St, Chicago, IL 60611-2913 | 2006-05-12 |
| 1235614926 | Alc Palliative and Hospice Care, Inc | Internal Medicine | 477 E Butterfield Rd Ste 400, Lombard, IL 60148-4881 | 2018-09-27 |
| 1023508769 | Stephanie Birmingham | Internal Medicine | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2018-05-17 |
| 1982083242 | Gina Marie Piscitello | Internal Medicine | 5841 S Maryland Ave, Room A700; Mc-7082, Chicago, IL 60637-1447 | 2015-05-20 |
| Find all providers with the same taxonomy | ||||
| City | LONG GROVE |
| Zip Code | 60047 |
Please comment or provide details below to improve the information on DR. BRIAN M MEDLEY.
| 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.