DR. LUCIO A. PAVONE (NPI# 1790966844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790966844 |
| Entity Type | Individual |
| Full Name | DR. LUCIO A. PAVONE |
| Credential | M.D. |
| Practice Address |
9000 Waukegan Rd Suite 210 Morton Grove IL 60053-2127 |
| Practice Telephone | 8479675122 |
| Practice Fax Number | 8479675125 |
| Mailing Telephone | 8479675122 |
| Mailing Fax Number | 8479675125 |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2010-06-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
A98219 | CA | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
036123223 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
9000 WAUKEGAN RD SUITE 210 |
| City | MORTON GROVE |
| State | IL |
| Zip Code | 60053-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558367482 | Jonathan Garrett | Physician Assistant | 9000 Waukegan Rd, Suite 200, Morton Grove, IL 60053-2127 | 2005-06-24 |
| 1841732310 | Maris Clinebell | Physical Therapy Assistant | 9000 Waukegan Rd, Suite 100, Morton Grove, IL 60053-2127 | 2016-11-15 |
| 1801345228 | Kathryn Spingola | Physician Assistant | 9000 Waukegan Rd, Suite 200, Morton Grove, IL 60053-2127 | 2016-09-27 |
| 1528513397 | Allison Radziewicz | Physical Therapy Assistant | 9000 Waukegan Rd, Suite 200, Morton Grove, IL 60053-2127 | 2016-08-22 |
| 1215300595 | Chelsea Rickert | Physician Assistant | 9000 Waukegan Rd, Suite 200, Morton Grove, IL 60053-2127 | 2015-11-09 |
| 1679942601 | Nusaybah Ismail | Physician Assistant | 9000 Waukegan Rd, Suite 200, Morton Grove, IL 60053-2127 | 2015-09-21 |
| 1538564869 | Elizabeth Durham | Physician Assistant | 9000 Waukegan Rd, Suite 200, Morton Grove, IL 60053-2127 | 2014-10-29 |
| 1902209224 | William Rowland | Physician Assistant | 9000 Waukegan Rd, Suite 200, Morton Grove, IL 60053-2127 | 2014-10-01 |
| 1972904050 | Jesse Matsubara | Physical Therapist | 9000 Waukegan Rd, Suite 100, Morton Grove, IL 60053-2127 | 2014-09-09 |
| 1487054771 | Chad Anderson | Physician Assistant | 9000 Waukegan Rd, Suite 200, Morton Grove, IL 60053-2127 | 2014-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710536206 | 360 Rehabilitation & Physical Therapy LLC | Clinic/Center | 9041 Moody Avenue, Morton Grove, IL 60053 | 2019-09-06 |
| 1205312147 | Ziing Healthcare, Inc | Nursing Care | 6126 Lincoln Ave, Suite 1010, Morton Grove, IL 60053 | 2018-07-13 |
| 1578053674 | Megan Ruffalo | Home Health | 8922 Marion Ave, Morton Grove, IL 60053 | 2018-05-14 |
| 1215441381 | Kristen Marie Kowalski | Occupational Therapist | 8145 River Dr Ste 101, Morton Grove, IL 60053 | 2017-11-27 |
| 1760846190 | Lukasz Jarosinski | Physical Therapy Assistant | 8425 N Waukegan, Morton Grove, IL 60053 | 2016-04-12 |
| 1538547898 | Alysha Gillani | Behavioral Analyst | 9240 Merrill Ave, Morton Grove, IL 60053 | 2015-05-07 |
| 1043578909 | Jordan Jon Wolf | Social Worker | 9224 Cameron Lane, Morton Grove, IL 60053 | 2012-04-30 |
| 1427217454 | Amy Sakoda | Specialist | 9400 N Orile, Morton Grove, IL 60053 | 2008-06-05 |
| 1063679348 | Minsook Do Kroon | Chiropractor | 6021 W Dempster, Morton Grove, IL 60053 | 2008-05-22 |
| 1023282217 | Simona Balan | Dentist | 6223 W Dempster St, Morton Grove, IL 60053 | 2008-04-17 |
| Find all providers in zip 60053 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1578068524 | Jw Operatory | Surgery | 1811 Saint Johns Ave Ste 100, Highland Park, IL 60035-5607 | 2018-03-29 |
| 1780198796 | Lin Plastic and Reconstructive Surgery Inc | Surgery | 730 W Couch Pl Unit 1409, Chicago, IL 60661-1383 | 2017-11-29 |
| 1750892923 | Alban Ingram Miller Jr. | Surgery | 1708 Foxborough Ct, Champaign, IL 61822-8503 | 2017-10-16 |
| 1972905545 | Jennifer Hein | Surgery | 2631 Williamsburg Ave Ste 102, Geneva, IL 60134-1108 | 2014-09-25 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1043559842 | Msa Alliance, LLC | Surgery | 1 Broadway Plz, Sparta, IL 62286-1800 | 2013-02-14 |
| 1518223791 | Hansel M Debartolo Jr Md Sc | Surgery | 11 Debartolo Dr., Sugar Grove, IL 60554 | 2012-04-02 |
| 1952692717 | Georgios Kokosis | Surgery | 1725 W Harrison St Ste 425, Chicago, IL 60612-3893 | 2011-04-28 |
| 1740596808 | Swedishamerican Hospital | Surgery | 6533 Lexus Dr, Rockford, IL 61108 | 2010-08-27 |
| Find all providers with the same taxonomy | ||||
| City | MORTON GROVE |
| Zip Code | 60053 |
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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.