LAKE MCHENRY PATHOLOGY ASSOCIATES LTD (NPI# 1750380101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750380101 |
| Entity Type | Organization |
| Organization Name | LAKE MCHENRY PATHOLOGY ASSOCIATES LTD |
| Practice Address |
3701 Doty Rd Woodstock IL 60098-7509 |
| Mailing Address |
520 E 22nd St Lombard IL 60148-6110 |
| Practice Telephone | 8153382500 |
| Mailing Telephone | 6308742542 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2007-11-26 |
| Authorized Official Name | NABIL O ALI (CHAIRMAN) |
| Authorized Official Telephone | 8153382500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| Street Address |
3701 DOTY RD |
| City | WOODSTOCK |
| State | IL |
| Zip Code | 60098-7509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891794681 | Thomas Peeters | Emergency Medicine | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2005-07-14 |
| 1962036921 | Northern Illinois Medical Center | Clinic/Center | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2020-02-28 |
| 1568024982 | Kyle Joseph Saunders | Counselor | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2019-07-05 |
| 1962990309 | Ravi Khapekar | Nurse Anesthetist, Certified Registered | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2018-05-01 |
| 1982137337 | Maria Prusha | Pharmacist | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2017-04-04 |
| 1699220525 | Grazyna Kostecki | Pharmacist | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2016-08-21 |
| 1164871836 | Megan Garcia | Behavioral Analyst | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2016-06-03 |
| 1164876967 | Nicholas K Ventocilla | Nurse Anesthetist, Certified Registered | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2016-04-18 |
| 1225498660 | Kimberly Anne Saathoff | Pharmacist | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2016-02-27 |
| 1124486790 | Angela K Astleford | Nurse Practitioner | 3701 Doty Rd, Woodstock, IL 60098 | 2016-02-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083197453 | Abb Dental Group LLC | Dentist | 11585 Us 14, Woodstock, IL 60098 | 2018-09-12 |
| 1396256467 | Gezelle Adams | Social Worker | 1200 Walden Oaks Dr, Woodstock, IL 60098 | 2017-10-17 |
| 1861910721 | Letitia Susan Edgell | Technician | 503 Lawndale Ave., Woodstock, IL 60098 | 2017-08-31 |
| 1104355460 | Jessica Evertsen | Doula | 435 Laurel Ave, Woodstock, IL 60098 | 2017-06-08 |
| 1871026724 | Bo Yeon Bartilotta | Dentist | 11585 Us-14, Woodstock, IL 60098 | 2017-04-07 |
| 1619337185 | Julia Karibian | Community Health Worker | 2983 Strauss Court, Woodstock, IL 60098 | 2016-02-26 |
| 1407249170 | Julia Bonti | Counselor | 13318 Hickory Ln, Woodstock, IL 60098 | 2015-03-05 |
| 1427485580 | Sara E Smedinghoff | Physical Therapy Assistant | 708 Washington Street, Woodstock, IL 60098 | 2013-10-03 |
| 1669721783 | Robert Eugene Haraden | Dentist | 651 S. Eastwood Dr, Woodstock, IL 60098 | 2012-09-05 |
| 1831447440 | Carla Peltier | Social Worker | 101 South Jefferson Street, Woodstock, IL 60098 | 2012-08-29 |
| Find all providers in zip 60098 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003937111 | Kenneth Lee Sisco | Pathology | 11054 Doxberry Cir, Woodstock, MD 21163-1499 | 2007-04-03 |
| 1457352304 | Rakhshan Naqvi | Pathology | Centegra Memorial Medical Center / Pahology Department, 3701 Doty Road, Woodstock, IL 60098 | 2005-08-02 |
| 1184645210 | Rosanne Fitko | Pathology | 3701 Doty Rd, Lake / Mchenry Pathology Associates, Ltd., Woodstock, IL 60098-7509 | 2006-07-22 |
| 1376535120 | Nabil O. Ali | Pathology | 3701 Doty Rd, Centegra Memorial Medical Center, Woodstock, IL 60098-7509 | 2005-08-18 |
| 1134120082 | Wendy L. Ward | Pathology | 3701 Doty Rd, Centegra Memorial Medical Center / Pathology Department, Woodstock, IL 60098-7509 | 2005-08-02 |
| 1053312918 | Adelaide Horcher | Pathology | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930145 | Uttamjot Kaur | Pathology | 2650 Ridege Avenue, Evanston Hospital, Chicago, IL 60613-6061 | 2020-10-21 |
| 1770131831 | Reditus Laboratories | Pathology | 1805 Riverway Dr, Pekin, IL 61554-9309 | 2019-08-30 |
| 1679137756 | Hans-magne Hansen Hamnvag | Pathology | 2460 S 1st Avenue Loyola University Medical Center, Maywood, IL 60153-3328 | 2019-04-24 |
| 1497229157 | Almasri Medical LLC | Pathology | 8150 185th St Ste A, Tinley Park, IL 60487-9319 | 2019-01-16 |
| 1689188062 | Karina Colossi Furlan | Pathology | 1750 W Harrison St Fl 5, Chicago, IL 60612-3825 | 2017-11-21 |
| 1245753961 | Ayse Irem Kilic | Pathology | 2160 South First Ave., Maywood, IL 60153-3328 | 2017-07-25 |
| 1073967162 | Lucy Fu | Pathology | 303 East Chicago Avenue Ward 3-140 W127, Chicago, IL 60611-1059 | 2016-04-14 |
| 1679930457 | Lindsay Alpert | Pathology | 150 Harvester Drive, Suite 300, Burr Ridge, IL 60527-6686 | 2016-01-25 |
| 1831573898 | Indu Agarwal | Pathology | 2100 Valencia Dr, #314b, Northbrook, IL 60062-7063 | 2015-07-18 |
| 1053790113 | Lisa Han | Pathology | 5841 S. Maryland Ave., Rm. S323, Mc 3083, Chicago, IL 60637-1470 | 2015-05-22 |
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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.