LAKE COUNTY VEIN SPECIALISTS, SC (NPI# 1457711269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457711269 |
Entity Type | Organization |
Organization Name | LAKE COUNTY VEIN SPECIALISTS, SC |
Practice Address |
1425 N Hunt Club Rd Suite 202 Gurnee IL 60031-2632 |
Practice Telephone | 6309285234 |
Enumeration Date | 2016-03-07 |
Last Update Date | 2016-03-07 |
Authorized Official Name | DANA GRAY (MD) |
Authorized Official Telephone | 6309285234 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 202K00000X | Phlebology | Allopathic & Osteopathic Physicians |
Street Address |
1425 N HUNT CLUB RD SUITE 202 |
City | GURNEE |
State | IL |
Zip Code | 60031-2632 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174516520 | Ira J Piel | Internal Medicine | 1425 N Hunt Club Rd, Suite 301, Gurnee, IL 60031-2632 | 2005-08-31 |
1174643365 | Ira J Piel Md Facp Sc | Internal Medicine | 1425 N Hunt Club Rd, 301, Gurnee, IL 60031-2632 | 2007-03-30 |
1295723971 | Ralph G Frank Do PC | Obstetrics & Gynecology | 1425 N Hunt Club Rd, #101, Gurnee, IL 60031-2632 | 2005-10-07 |
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 | 202K00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Phlebology |
Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism. |
Notes: Source: American College of Phlebology 12/2006. www.phelbology.org [1/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: Training Programs, Fellowships, and/or Preceptorships: Certification exam is being established by the American Board of Phlebology. ACGME Accredited Residency Program Requirements: None |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154602043 | Mvc-chicago, S.c. | Phlebology | 680 N Lake Shore Dr Suite 104, Chicago, IL 60673-1050 | 2011-09-06 |
1053511840 | Sw Suburban - Midwest Vascular Center, S. C. | Phlebology | 10755 W 143rd St, Orland Park, IL 60462-1900 | 2007-07-20 |
1447343090 | Chicago Vein Institute S.c. | Phlebology | 4906 N. Western Ave., Suite 2, Chicago, IL 60625 | 2006-10-02 |
1194751156 | Kathryn Sue Bohn | Phlebology | 3302 Gerig Dr, Suite 100, Bloomington, IL 61704-6365 | 2006-06-23 |
1154378040 | Illinois Phlebology Associates Sc | Phlebology | 14225 S 95th Ave Ste 455, Orland Park, IL 60462-2266 | 2006-05-27 |
1457311524 | Stephen Carl Sorenson | Phlebology | 795 Ela Rd Ste 115, Lake Zurich, IL 60047 | 2006-03-24 |
1396728978 | Peter Brukasz | Phlebology | 10510 S Roberts Rd, Palos Hills, IL 60465-1934 | 2005-11-28 |
1619412574 | The Institute for Vein Health LLC | Phlebology | 10510 S Roberts Rd, Palos Hills, IL 60465-1934 | 2017-01-03 |
1255603247 | Grand Vein Specialists LLC | Phlebology | 1508 Grand Ave, Waukegan, IL 60085-3653 | 2012-02-06 |
1083916845 | Mir Joffrey Md, LLC | Phlebology | 1100 E Woodfield Rd, Suite 140, Schaumburg, IL 60173-5116 | 2010-11-30 |
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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.