MRS. LISETTE TZANETAKOS SOLOMON


Address: 99 Boulder Hill Pass, Montgomery, IL 60538
Phone: 6308972848

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 036073832 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036073832 05

Office Location

Street Address 99 BOULDER HILL PASS
City MONTGOMERY
State IL
Zip Code 60538

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City MONTGOMERY
Zip Code 60538

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Dataset Information

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.

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