DR. STEPHEN ANDREW COULSON (NPI# 1841292778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841292778 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN ANDREW COULSON |
| Credential | M.D. |
| Practice Address |
1115 Margate Ln Libertyville IL 60048-2441 |
| Practice Telephone | 8479102850 |
| Mailing Telephone | 8479102850 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2013-05-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 036-098320 | IL | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 036-098320 | IL | Allopathic & Osteopathic Physicians |
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
036-098320 | IL | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
036-098320 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 0360983202 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235522160 | Stephen Coulson | Audiologist | 7501 Seminole Blvd, Seminole, FL 33772-5429 | 2015-03-17 |
| Street Address |
1115 MARGATE LN |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-2441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184068371 | Stephen Coulson PC | Hospitalist | 1115 Margate Ln, Libertyville, IL 60048-2441 | 2013-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184119950 | Park Avenue Dental Professionals, PC | Dentist | 1001 W. Park Avenue, Libertyville, IL 60048 | 2018-06-25 |
| 1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
| 1366943672 | Jackie Rayyan | Behavior Technician | 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 | 2018-02-22 |
| 1851804850 | Mary E. Linsey | Counselor | 34180 Highway 45, Libertyville, IL 60048 | 2017-11-13 |
| 1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
| 1164946471 | Christianna Patterson | Speech-Language Pathologist | 1870 W Winchester Rd #203, Libertyville, IL 60048 | 2017-07-28 |
| 1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
| 1396291530 | Karyn Kolner | Physical Therapist | 860 W Winchester Rd, #108, Libertyville, IL 60048 | 2016-08-28 |
| 1477900785 | Medlogic LLC | Clinic/Center | 114 West Rockland Road, Suite 201, Libertyville, IL 60048 | 2016-05-17 |
| 1477926343 | Robert Mcnulty | Student in an Organized Health Care Education/Training Program | 1313 Crane Blvd, Libertyville, IL 60048 | 2015-11-02 |
| Find all providers in zip 60048 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992149645 | David Recker | Internal Medicine | 1324 Canterbury Cir, Libertyville, IL 60048-3072 | 2013-04-24 |
| 1659563831 | North Shore Primary Care S.c. | Internal Medicine | 1900 Hollister Dr Ste 250, Libertyville, IL 60048-5249 | 2007-08-13 |
| 1437236015 | Grayslake Medical Group, LLC | Internal Medicine | 900 Technology Way Ste 230, Libertyville, IL 60048-5364 | 2006-11-01 |
| 1245332519 | John Avramidis | Internal Medicine | 1631 Timber Woods Lane, Libertyville, IL 60048 | 2006-09-05 |
| 1770599938 | Syeda A. Iftikhar | Internal Medicine | 1507 S Falcon Dr, Libertyville, IL 60048-4897 | 2006-07-31 |
| 1174578843 | Mohina Gupta | Internal Medicine | 1870 W Winchester Rd Ste 248, Libertyville, IL 60048-5360 | 2006-05-23 |
| 1073579397 | Robert B Johnson | Internal Medicine | 755 S. Milwaukee Avenue, Suite 263, Libertyville, IL 60048-3266 | 2006-04-25 |
| 1720054950 | Aristides P Assimacopoulos | Internal Medicine | 890 Garfield Ave Ste 210, Libertyville, IL 60048-3100 | 2006-02-27 |
| 1144208554 | Robert J Romanelli | Internal Medicine | 900 Technology Way, Suite 230, Libertyville, IL 60048-5364 | 2006-01-05 |
| 1528053972 | Michael Seward Hall | Internal Medicine | 1268 American Way, Libertyville, IL 60048-3936 | 2005-09-13 |
| Find all providers in LIBERTYVILLE | ||||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
Please comment or provide details below to improve the information on DR. STEPHEN ANDREW COULSON.
| 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.