MIGUEL R ANTONATOS (NPI# 1912285081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912285081 |
| Entity Type | Individual |
| Full Name | MIGUEL R ANTONATOS |
| Credential | M.D. |
| Practice Address |
660 N Westmoreland Rd Lake Forest IL 60045 |
| Mailing Address |
3601 Sw 160th Ave Ste 250 Miramar FL 33027-6314 |
| Practice Telephone | 8472345600 |
| Practice Fax Number | 8475357203 |
| Mailing Telephone | 8778667123 |
| Enumeration Date | 2011-07-23 |
| Last Update Date | 2018-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036138839 | IL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 036138839 | IL | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 036138839 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ILLIONOIS LICENSE | 036138839 | 01 |
| Street Address |
660 N WESTMORELAND RD |
| City | LAKE FOREST |
| State | IL |
| Zip Code | 60045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588661318 | Regis J Weiss | Obstetrics & Gynecology | 660 N Westmoreland Rd, Suite 306, Lake Forest, IL 60045-1659 | 2005-07-07 |
| 1508377532 | Meghan Strand | Physician Assistant | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2017-10-17 |
| 1538689864 | Amanda D Froeming | Physician Assistant | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2017-06-27 |
| 1639608409 | Kristin Rae Elinski | Physician Assistant | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2017-06-06 |
| 1386173235 | Erika L Tait | Physician Assistant | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2017-06-05 |
| 1437685252 | Melissa Kathryn Demiglio | Physician Assistant | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2017-05-11 |
| 1891231312 | Jill Alden | Clinical Nurse Specialist | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2017-01-07 |
| 1588108203 | Sarah Latoria | Nurse Practitioner | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2016-12-14 |
| 1184172488 | Ken Dizon | Registered Nurse | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2016-09-14 |
| 1194182949 | Meagan Reitz | Physician Assistant | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2016-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851931109 | Spine & Wellness Clinic, Inc. | Chiropractor | 775 N Bank Lane Suite 101, Lake Forest, IL 60045 | 2020-01-14 |
| 1184278640 | Mary Belluomini Dipietro | Dietitian, Registered | 1000 North Westmoreland Rd., Lake Forest, IL 60045 | 2019-08-01 |
| 1336621747 | Brook Elizabeth Orvis | Physical Therapist | 1000 N Westmoreland Road, 2nd Floor, Pavilion B, Lake Forest, IL 60045 | 2018-08-31 |
| 1336621028 | Michelle Nebel | Audiologist | 225 East Deerpath, Suite 223, Lake Forest, IL 60045 | 2018-08-30 |
| 1467951731 | Devan Keesling | Audiologist | 800 N Westmoreland Rd Ste Ll30, Lake Forest, IL 60045 | 2018-02-01 |
| 1023516796 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Westmoreland Rd Ste A, Lake Forest, IL 60045 | 2018-01-29 |
| 1275056780 | Karen Elizabeth Cohen | Counselor | 1331 S. Estate Lane, Lake Forest, IL 60045 | 2017-07-18 |
| 1497281711 | Caroline Connors | Speech-Language Pathologist | 660 Westmoreland Road, Lake Forest, IL 60045 | 2017-05-05 |
| 1013453406 | Katie L Konopacz | Nurse Practitioner | 1000 N Westmoreland Rd # B, Lake Forest, IL 60045 | 2017-01-10 |
| 1225424575 | Sean Robert Wessel | Internal Medicine | 1000 N Westmoreland Rd Ste 3556, Lake Forest, IL 60045 | 2015-04-14 |
| Find all providers in zip 60045 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386802940 | Health and Wellness Center, Inc. | Family Medicine | 23672 Birtcher Rd., Unit A, Lake Forest, CA 92630-1711 | 2008-05-29 |
| 1043374473 | Chyle E Beaird | Family Medicine | 24401 Muirlands Blvd Ste C, Lake Forest, CA 92630-3949 | 2006-12-20 |
| 1700952827 | Adel Boutros | Family Medicine | 22611 Lake Forest Dr, Lake Forest, CA 92630-1700 | 2006-11-28 |
| 1053405506 | Mohammed Mahmood Ali | Family Medicine | 23672 Birtcher Dr, Unit A, Lake Forest, CA 92630-1711 | 2006-10-02 |
| 1285747402 | California Emergency Physicians | Family Medicine | 22855 Lake Forest Dr, # A, Lake Forest, CA 92630-1656 | 2006-08-15 |
| 1982613253 | Gonzalo Flores Ruiz | Family Medicine | 22741 Lambert St, Suite1607, Lake Forest, CA 92630-1617 | 2006-08-05 |
| 1720009152 | Carol Ann Barnes-blanks | Family Medicine | 23672 Birtcher Dr Unit A, Lake Forest, CA 92630-1711 | 2006-07-21 |
| 1538190954 | Moulton Family Medical, Inc. | Family Medicine | 22611 Lake Forest Dr. #c-4, Lake Forest, CA 92630 | 2006-07-05 |
| 1306838909 | Mary M Koumas | Family Medicine | 24401 Muirlands Blvd, Suite #a, Lake Forest, CA 92630-3948 | 2005-08-19 |
| 1598394686 | Vituity - Urgent Care Services PC | Family Medicine | 22855 Lake Forest Dr Ste A, Lake Forest, CA 92630-1656 | 2020-04-02 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 60045 |
Please comment or provide details below to improve the information on MIGUEL R ANTONATOS.
| 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.