JEFFREY S. BAKAL (NPI# 1487653549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487653549 |
| Entity Type | Individual |
| Full Name | JEFFREY S. BAKAL |
| Credential | M.D. |
| Practice Address |
1786 Moon Lake Blvd Suite #100 Hoffman Estates IL 60169-5029 |
| Practice Telephone | 8478829300 |
| Practice Fax Number | 8478829348 |
| Mailing Telephone | 8478829300 |
| Mailing Fax Number | 8478829348 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2020-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 036086309 | IL | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
036086309 | IL | Allopathic & Osteopathic Physicians |
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
036086309 | IL | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
036086309 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 1621016 | 01 | |
| IL | 0360863092 | 05 |
| Street Address |
1786 MOON LAKE BLVD SUITE #100 |
| City | HOFFMAN ESTATES |
| State | IL |
| Zip Code | 60169-5029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588661961 | Debra Danielson | Midwife | 1786 Moon Lake Blvd, Suite 207, Hoffman Estates, IL 60169-1067 | 2005-06-30 |
| 1053875567 | Lauren Bantner | Counselor | 1786 Moon Lake Blvd, Hoffman Estates, IL 60169-5029 | 2019-01-29 |
| 1144761040 | Lacey Lemke | Psychologist | 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 | 2017-03-13 |
| 1801341466 | Bubbles Pediatrics, LLC | Pediatrics | 1786 Moon Lake Blvd, Suite 206, Hoffman Estates, IL 60169-5029 | 2016-08-23 |
| 1548613318 | Christopher Zapata | Counselor | 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 | 2016-07-18 |
| 1528433786 | Sean S Mcgrew | Social Worker | 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 | 2015-12-14 |
| 1598136475 | Megan Deligio | Counselor | 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 | 2015-10-16 |
| 1205207925 | Huong Iodice | Nurse Practitioner | 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 | 2015-10-08 |
| 1336534791 | Denise Kitsos Druck | Registered Nurse | 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 | 2015-04-02 |
| 1841698263 | Gregory Eakle | Licensed Vocational Nurse | 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 | 2014-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538639109 | Kathryn Grace Simpson | Behavioral Analyst | 2500 W Higgins Rd Suite 870, Hoffman Estates, IL 60169 | 2018-11-27 |
| 1821507195 | Anna Catsaros | Speech-Language Pathologist | 1030 W. Higgins Road, Hoffman Estates, IL 60169 | 2017-09-29 |
| 1831628908 | Htgr, Ltd | Dentist | 2200 N. Higgins Rd, Ste 335, Hoffman Estates, IL 60169 | 2017-06-12 |
| 1023541521 | Tamara M Nowak | Counselor | 2455 Dean St., Suite 3g, St. Charles, IL 60169 | 2017-04-11 |
| 1275995813 | Eraj Din | Pediatrics | 2500 W Higgins Rd Ste 440, Hoffman Estates, IL 60169 | 2016-03-23 |
| 1871965764 | Hameed U. Baig | Family Medicine | 1446 Della Drive, Hoffman Estates, IL 60169 | 2015-10-30 |
| 1316365620 | Eye See Optical Inc. | Clinical Medical Laboratory | 1071 W. Golf Rd., Hoffman Estates, IL 60169 | 2014-04-03 |
| 1093132284 | Elizabeth Sita | Psychiatry & Neurology | 1786 Moon Lake Blvd Ste 104, Hoffman Estates, IL 60169 | 2014-03-25 |
| 1881017895 | Katie Forsythe | Counselor | 990 Grand Canyon Pkwy Ste 420, Hoffman Estates, IL 60169 | 2014-01-27 |
| 1831447432 | Suma Karandikar | Counselor | 2500 W Higgins Rd Ste 570, Hoffman Estates, IL 60169 | 2012-08-29 |
| Find all providers in zip 60169 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184919508 | James Lassiter Quertermous | Dermatology | 4885 Hoffman Blvd Ste 407, Hoffman Estates, IL 60192 | 2011-06-14 |
| 1457662561 | Nicole J Meunier | Dermatology | 2500 W Higgins Rd Ste 1040, Hoffman Estates, IL 60169-2049 | 2010-06-24 |
| 1861666299 | Bruce Kolton Md LLC | Dermatology | 2500 W Higgins Rd Ste 940, Hoffman Estates, IL 60169-2085 | 2008-04-16 |
| 1457354334 | Bruce Kolton | Dermatology | 2500 W Higgins Rd, Ste 940, Hoffman Estates, IL 60195-2085 | 2005-05-24 |
| 1790294684 | Kelly J Boyle | Dermatology | 4885 Hoffman Blvd Ste 407, Hoffman Estates, IL 60192-3726 | 2017-09-24 |
| 1750719944 | Callie Dahleen | Dermatology | 4885 Hoffman Blvd, Ste 407, Hoffman Estates, IL 60192-3726 | 2013-10-24 |
| 1972738805 | Meghan Morrow | Dermatology | 2500 W Higgins Rd, Suite 1040, Hoffman Estates, IL 60169-7220 | 2009-05-21 |
| 1790706547 | Northwest Dermatology, S.c. | Dermatology | 2500 W. Higgins Road, Suite 1040, Hoffman Estates, IL 60169 | 2006-07-21 |
| 1851310619 | Patricia A. Ledwig | Dermatology | 2500 W. Higgins Road, Suite 1040, Hoffman Estates, IL 60169 | 2006-07-19 |
| 1902825771 | Susan G Liebovitz | Dermatology | 2500 W. Higgins Road, Suite 1040, Hoffman Estates, IL 60169 | 2006-07-19 |
| Find all providers in HOFFMAN ESTATES | ||||
| City | HOFFMAN ESTATES |
| Zip Code | 60169 |
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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.