JOHN H. GONG (NPI# 1962414623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962414623 |
| Entity Type | Individual |
| Full Name | JOHN H. GONG |
| Credential | MD |
| Practice Address |
900 W Il Route 22 Ste 100 Lake Zurich IL 60047-3416 |
| Mailing Address |
900 W Il Route 22 Ste 100 Lake Zurich IL 60047-3416 |
| Practice Telephone | 8474621700 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2019-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036-089072 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036089072 | 05 | |
| IL | STATE LICENSE | 036089072 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 910 Il Route 22, Fox River Grove, IL 600211905 | 8474621700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528537529 | John Young Gong | Pharmacist | 1809 Verdugo Blvd Ste 110, Glendale, CA 91208-1402 | 2018-11-19 |
| Street Address |
900 W IL ROUTE 22 STE 100 |
| City | LAKE ZURICH |
| State | IL |
| Zip Code | 60047-3416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912378605 | Lg Healthcare, LLC | Internal Medicine | 900 W Il Route 22 Ste 100, Lake Zurich, IL 60047 | 2015-10-07 |
| 1619053469 | Robin M Fischer | Physician Assistant | 900 W Il Route 22 Ste 100, Lake Zurich, IL 60047-3416 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871142547 | Terry Solberg | Technician | 25 Robin Crest Rd, Hawthorn Woods, IL 60047 | 2019-09-05 |
| 1073083614 | Cody Colleen Todd | Counselor | 21361 W Brandon Rd, Kildeer, IL 60047 | 2018-11-27 |
| 1861983694 | Ahmad Family Primary Care, S.c. | Family Medicine | 350 Surryse Rd Ste 240, Lake Zurich, IL 60047 | 2018-05-29 |
| 1508371972 | Joy Anne Margolis | Speech-Language Pathologist | 4151 Robert Parker Coffin Rd, Long Grove, IL 60047 | 2017-12-07 |
| 1982118576 | Stephanie Marie Luebbe | Specialist/Technologist | 30 Seneca Ave W, Hawthorn Woods, IL 60047 | 2017-11-19 |
| 1447785498 | Kayla Stavnes | Student in an Organized Health Care Education/Training Program | 23537 N Garden Ln, Lake Zurich, IL 60047 | 2017-04-27 |
| 1104366491 | Lindsay Pearlman & Associates | Psychologist | 4160 Rte 83, Suite 307, Long Grove, IL 60047 | 2017-03-06 |
| 1164969929 | Lauren Christine Hallerud | Counselor | 4180 Il-83, Suite 10, Long Grove, IL 60047 | 2017-01-31 |
| 1790220820 | Long Grove Center for Emotional Health LLC | Counselor | 4180 Rfd, Suite 10, Long Grove, IL 60047 | 2016-12-28 |
| 1063960276 | Mars Healthcare LLC | Clinic/Center | 721 W Highway 22nd, Lake Zurich, IL 60047 | 2016-09-16 |
| Find all providers in zip 60047 | ||||
| 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 |
|---|---|---|---|---|
| 1396003737 | Apollo Hospitalist Group LLC | Internal Medicine | 25 Telser Rd #1057, Lake Zurich, IL 60047-3647 | 2012-04-23 |
| 1902981491 | Vein Care Specialists, Ltd | Internal Medicine | 900 W. Route 22, Suite 120, Lake Zurich, IL 60047-3416 | 2006-10-25 |
| 1154334316 | Rushim Bains | Internal Medicine | 1217 S Rand Rd, Lake Zurich, IL 60047-2960 | 2006-08-15 |
| 1992728885 | Lisa Sophia Gulcher | Internal Medicine | 925 S. Rand Road, Lake Zurich, IL 60047 | 2006-07-25 |
| 1760445654 | Rajeev Kapoor | Internal Medicine | 25 Telser Rd # 1057, Lake Zurich, IL 60047-3647 | 2006-04-11 |
| 1912378605 | Lg Healthcare, LLC | Internal Medicine | 900 W Il Route 22 Ste 100, Lake Zurich, IL 60047 | 2015-10-07 |
| 1912163130 | Heidi Wehlus | Internal Medicine | 1217 S Rand Rd, Lake Zurich, IL 60047-2960 | 2008-08-07 |
| 1760694152 | Lake Zurich Medical Associates Ltd | Internal Medicine | 290 N Rand Rd, Suite A, Lake Zurich, IL 60047-2213 | 2007-05-05 |
| 1770634560 | Barry W Berger | Internal Medicine | 290 N Rand Rd, Suite A, Lake Zurich, IL 60047-2213 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002832 | Coleman Clinic, Inc. | Internal Medicine | 1893 Daimler Rd Ste A, Rockford, IL 61112-1081 | 2020-10-29 |
| 1922606193 | Thatiana Carolina Schulze Goni | Internal Medicine | 5924 N Lincoln Ave Apt 205, Chicago, IL 60659-3736 | 2020-10-11 |
| 1447866579 | Jashan Gill | Internal Medicine | 3707 Doty Rd Ste Eandf, Woodstock, IL 60098-7530 | 2020-09-23 |
| 1649884636 | Maria Detolve Donoghue | Internal Medicine | 905 Eldorado St, Winnetka, IL 60093-1951 | 2020-09-07 |
| 1750995742 | Eva Bartaula | Internal Medicine | 1500 S Fairfield Ave # 3, Chicago, IL 60608-1782 | 2020-09-07 |
| 1750994513 | Ranjit Babu Jasaraj | Internal Medicine | 1500 S Fairfield Ave # F-914, Chicago, IL 60608-1782 | 2020-08-30 |
| 1871106005 | Vijay Ketan Reddy | Internal Medicine | 1500 S Fairfield Ave Dept Roomf914, Chicago, IL 60608-1782 | 2020-08-27 |
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1659989937 | Consultant Physicians | Internal Medicine | 580 Bankview Dr, Frankfort, IL 60423-1382 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ZURICH |
| Zip Code | 60047 |
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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.