DR. LARS RIKARDSEN (NPI# 1558749226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558749226 |
| Entity Type | Individual |
| Full Name | DR. LARS RIKARDSEN |
| Credential | M.D. |
| Practice Address |
640 S Washington St Ste 350 Naperville IL 60540 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-0018 |
| Practice Telephone | 6307172646 |
| Practice Fax Number | 6307172613 |
| Mailing Telephone | 6304699200 |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2018-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036146098 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 125067370 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
640 S WASHINGTON ST STE 350 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235364092 | Shruthi Geedipalley Reddy | Dermatology | 640 S Washington St Ste 350, Naperville, IL 60540-6785 | 2009-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007678 | Mandalai Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 720 S. Brom Drive Suite 103, Naperville, IL 60540 | 2020-06-16 |
| 1316418957 | James Edward Frank | Counselor | 600 South Washington Street, Suite 302, Naperville, IL 60540 | 2018-12-07 |
| 1093208332 | Ingrid Johnson | Developmental Therapist | Right Start Pediatric Therapies, 50 S Main St Suite 200, Naperville, IL 60540 | 2018-06-12 |
| 1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
| 1588182190 | Debra Xiangjun Hayes | Acupuncturist | 226 N Washington St # 2, Naperville, IL 60540 | 2017-09-03 |
| 1487197166 | Health Improvement and Preventive Services LLC | Family Medicine | 1979 Mcdowell Rd., Suite 103, Naperville, IL 60540 | 2016-11-29 |
| 1588013775 | Matthew Jacob Imber | Chiropractor | 1220 Hobson Rd Ste 220, Naperville, IL 60540 | 2016-06-08 |
| 1457711418 | Elite Pain Medical Group Inc | Physical Medicine & Rehabilitation | 720 South Brom Drive, Suite 201, Naperville, IL 60540 | 2016-03-03 |
| 1265814800 | Jenifer Lynn Mersman | Chiropractor | 475 River Bend Rd. Suite 104, Naperville, IL 60540 | 2015-06-19 |
| 1386038016 | Jonathon Martin Ruiz | Specialist/Technologist | 440 N Brainard Street, Naperville, IL 60540 | 2015-03-19 |
| Find all providers in zip 60540 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932633849 | Kushal Deepak Shah | Family Medicine | 101 E 75th St Ste 105, Naperville, IL 60565-1411 | 2017-04-18 |
| 1487197166 | Health Improvement and Preventive Services LLC | Family Medicine | 1979 Mcdowell Rd., Suite 103, Naperville, IL 60540 | 2016-11-29 |
| 1326385972 | Eisenstein Medical Centers | Family Medicine | 1100 Sherman Ave Ste 107, Naperville, IL 60563-4855 | 2013-01-15 |
| 1992010516 | Yayati S. Patel | Family Medicine | 2007 95th St Ste 105, Naperville, IL 60564-7802 | 2010-08-09 |
| 1770815110 | Doctors Immediate Care | Family Medicine | 1301 S Route 59, 107, Naperville, IL 60564-9400 | 2010-02-10 |
| 1669683397 | Jigarkumar Thakkar | Family Medicine | 1309 Macom Dr Ste 101, Naperville, IL 60564-3202 | 2007-05-24 |
| 1417160714 | Anjum Usman | Family Medicine | 603 E Diehl Rd Ste 135, Naperville, IL 60563-4906 | 2007-05-07 |
| 1548399496 | Mark S. Juhn | Family Medicine | 2507 Dewes Ln, Naperville, IL 60564-8473 | 2007-03-05 |
| 1043394620 | Terry May | Family Medicine | 1891 Bayscott Circle, Ste 109, Naperville, IL 60540 | 2006-10-24 |
| 1619085206 | Thomas Patrick Fry | Family Medicine | 4003 S Route 59, Naperville, IL 60564-5802 | 2006-08-25 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60540 |
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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.