MR. MARK LAWRENCE ZUKOWSKI (NPI# 1730178971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730178971 |
| Entity Type | Individual |
| Full Name | MR. MARK LAWRENCE ZUKOWSKI |
| Credential | MD |
| Practice Address |
3612 Lake Ave Wilmette IL 60091-1000 |
| Mailing Address |
2217 Miramar Ln Buffalo Grove IL 60089-4692 |
| Practice Telephone | 8478538869 |
| Practice Fax Number | 8478538870 |
| Mailing Telephone | 8474788246 |
| Mailing Fax Number | 8474780456 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | IL | Allopathic & Osteopathic Physicians |
| Street Address |
3612 LAKE AVE |
| City | WILMETTE |
| State | IL |
| Zip Code | 60091-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134300510 | John Smith | Plastic Surgery | 3612 Lake Ave, Suite 2a, Wilmette, IL 60091-1000 | 2007-11-14 |
| 1134250095 | Elysa B Fisher | Specialist | 3612 Lake Ave, Wilmette, IL 60091-1000 | 2007-03-09 |
| 1346381431 | Katherine Mary Boho | Psychologist | 3612 Lake Ave, Wilmette, IL 60091-1000 | 2007-02-09 |
| 1710924386 | Lisa Verderber | Ophthalmology | 3612 Lake Ave, 2c, Wilmette, IL 60091-1000 | 2006-06-01 |
| 1710924857 | Pediatric Eye Associates, PC | Ophthalmology | 3612 Lake Ave, Suite 2c, Wilmette, IL 60091-1000 | 2006-05-31 |
| 1982659314 | Deborah Fishman | Ophthalmology | 3612 Lake Ave, 2c, Wilmette, IL 60091-1000 | 2006-05-24 |
| 1588613632 | North Shore Physicians Group, LLC | Specialist | 3612 Lake Ave, Ste. 4, Wilmette, IL 60091-1000 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689284408 | Tanner Hoegh | Counselor | Address: 825 Green Bay Rd, Suite 200, Wilmette, IL 60091 | 2020-08-06 |
| 1205301082 | Charles Michael Falcone | Anesthesiology | 2743 Illinois Road, Wilmette, IL 60091 | 2018-10-09 |
| 1134646219 | Shari Beth Nivasch | Counselor | 445 Beverly Drive, Wilmette, IL 60091 | 2017-08-29 |
| 1508288440 | Debra Anne Brodd | Chiropractor | 522 Poplar, Wilmette, IL 60091 | 2014-01-13 |
| 1720411085 | Catherine Elizabeth Zwergel | Acupuncturist | 1215 Washington Ave Ste 203, Wilmette, IL 60091 | 2013-08-09 |
| 1447693106 | Michael Joseph Engelman | Dentist | 1625 Sheridan Rd. Suite M, Wilmette, IL 60091 | 2013-04-12 |
| 1720365117 | Anna Kielar | Pharmacist | 811 Greenbay Rd, Wilmette, IL 60091 | 2011-11-14 |
| 1306128368 | Victoriya Kharon | Pharmacist | 811 Greenbay Road, Wilmette, IL 60091 | 2011-09-15 |
| 1154626653 | Mary Jo Schmitz | Physical Therapist | 3330 Old Glenview Rd., Suite 4, Wilmette, IL 60091 | 2011-01-14 |
| 1053622522 | Stephanie Lynn Kutzen | Social Worker | 1925 Lake Avenue, Suite 305, Wilmette, IL 60091 | 2010-06-29 |
| Find all providers in zip 60091 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134300510 | John Smith | Plastic Surgery | 3612 Lake Ave, Suite 2a, Wilmette, IL 60091-1000 | 2007-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093363236 | Stephen A Madry Md | Plastic Surgery | 27750 W Il Route 22 Ste 230, Barrington, IL 60010-1924 | 2019-08-30 |
| 1588129928 | Rosett Plastic Surgery, LLC | Plastic Surgery | 1149 Crofton Ave N, Highland Park, IL 60035-3953 | 2019-02-08 |
| 1922572411 | Plastic Surgery Services and Equipment LLC | Plastic Surgery | 3050 Finley Rd Ste 300b, Downers Grove, IL 60515-1369 | 2019-01-17 |
| 1710487095 | Bradley Ashpole Md LLC | Plastic Surgery | 501 W Golf Rd Ste A, Schaumburg, IL 60195-3502 | 2018-02-13 |
| 1821501586 | Plastic Surgery Clinic of Chicago LLC | Plastic Surgery | 850 S Wabash Ave Ste 310, Chicago, IL 60605-3642 | 2017-11-15 |
| 1720500085 | Warner Aesthetic & Reconstructive Institute | Plastic Surgery | 570 Lincoln Ave Lowr Level4, Winnetka, IL 60093-2355 | 2017-07-08 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1073977369 | Subramaniam Arumugam | Plastic Surgery | 13020 S Winnebago Rd, Palos Heights, IL 60463-2056 | 2016-04-12 |
| 1598123424 | Craig Bradley | Plastic Surgery | 1035 W Rundell Pl, Chicago, IL 60607-2514 | 2016-02-06 |
| 1215346325 | Damian Gress | Plastic Surgery | 943 W 14th Pl, Unit 2 B, Chicago, IL 60608-2287 | 2014-08-04 |
| Find all providers with the same taxonomy | ||||
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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.