MRS. LISETTE TZANETAKOS SOLOMON (NPI# 1851428114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851428114 |
Entity Type | Individual |
Full Name | MRS. LISETTE TZANETAKOS SOLOMON |
Credential | MD |
Practice Address |
99 Boulder Hill Pass Montgomery IL 60538 |
Practice Telephone | 6308972848 |
Practice Fax Number | 6308974498 |
Mailing Telephone | 6308972848 |
Mailing Fax Number | 6308974498 |
Enumeration Date | 2007-02-27 |
Last Update Date | 2008-06-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 036073832 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036073832 | 05 |
Street Address |
99 BOULDER HILL PASS |
City | MONTGOMERY |
State | IL |
Zip Code | 60538 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720126535 | Nicholas George Tzanetakos | Family Medicine | 99 Boulder Hill Pass, Montgomery, IL 60538 | 2007-02-02 |
1427228642 | Prime Care Medical Center Sc | Family Medicine | 99 Boulder Hill Pass, Montgomery, IL 60538-1911 | 2008-03-04 |
1356522023 | Valley Imaging Vt, LLC | Radiology | 99 Boulder Hill Pass, Montgomery, IL 60538-1911 | 2007-11-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447594296 | Kristina Nancy Hajek | Physician Assistant | 1851 Douglas Road, Montgomery, IL 60538 | 2012-11-17 |
1003025248 | Matthew Thomas Neu | Preventive Medicine | 325 Route 31, Caterpillar Inc, Medical Division, Montgomery, IL 60538 | 2007-05-22 |
1477761567 | West Suburban Dental Care, Ltd. | Dentist | 1901 Douglas Rd, Montgomery, IL 60538 | 2007-05-20 |
1093834079 | David D Leger | Chiropractor | 2100 Baseline Rd, Montgomery, IL 60538 | 2007-03-28 |
1790816650 | Tina Elizabeth Sunderland | Specialist/Technologist | 22 Ashlawn Ave, Montgomery, IL 60538 | 2007-03-09 |
1184638603 | Neil Stewart Schlupp | Chiropractor | 212 Webster Street, Montgomery, IL 60538 | 2006-07-28 |
1275570061 | Ridge Ambulance Service Inc | Ambulance | 1851 Aucutt Rd, Montgomery, IL 60538 | 2006-06-01 |
1487855839 | Linda Gioia Arrich | Dentist | 1901 Douglas Rd, Montgomery, IL 60538 | 2007-05-31 |
1750508339 | Michael Harry Kontos | Dentist | 20 Boulder Hill Pass, Montgomery, IL 60538 | 2007-04-18 |
1396954541 | William Robert Roggenkamp | Preventive Medicine | 325 Route 31, Montgomery, IL 60538-0348 | 2007-05-22 |
Find all providers in zip 60538 |
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 |
---|---|---|---|---|
1669854725 | Daugherty Medical Group Pllc | Internal Medicine | 9200 Montgomery Rd Suite 18a, Montgomery, OH 45242 | 2015-06-25 |
1548605389 | Albert E. Lester M.d., P.a. | Internal Medicine | 3091 Gaston Ave Ste B, Montgomery, AL 36105-1541 | 2013-05-07 |
1205182508 | John Kenneth Porter | Internal Medicine | 1758 Park Pl Ste 100b, Montgomery, AL 36106-1133 | 2012-07-24 |
1841565769 | Malcolm Brown Md LLC | Internal Medicine | 2214 Rosemont Dr, Montgomery, AL 36111-1009 | 2012-03-09 |
1669747671 | Norman A Garrison Md LLC | Internal Medicine | 9419 Winfield Pl, Montgomery, AL 36117-5177 | 2012-03-09 |
1245556307 | Justin William Smith | Internal Medicine | 273 Winton Blount Loop, Montgomery, AL 36117-3507 | 2010-04-14 |
1730320946 | Montgomery Clinic LLC | Internal Medicine | 641 Rowena St, Montgomery, LA 71454 | 2009-03-18 |
1376706846 | Roopa Dhawan Gandhi | Internal Medicine | 11059 Grandstone Ln, Montgomery, OH 45249-3418 | 2008-07-05 |
1619137528 | Celtin Robertson | Internal Medicine | 2820 Fairlane Dr, Ste A8, Montgomery, AL 36116-1631 | 2008-06-13 |
1720265416 | Scott Bell Md, P.C. | Internal Medicine | 7020 Sydney Curv, Montgomery, AL 36117-3508 | 2008-01-25 |
Find all providers in MONTGOMERY |
City | MONTGOMERY |
Zip Code | 60538 |
Please comment or provide details below to improve the information on MRS. LISETTE TZANETAKOS SOLOMON.
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.