Kevin M Liebovich (NPI# 1235131673, PAC ID# 3678525227) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1235131673 |
| PAC ID by PECOS | 3678525227 |
| Professional Enrollment ID | I20050211000509 |
| Full Name | Kevin M Liebovich |
| Organization Legal Name | ILLINOIS GASTROENTEROLOGY GROUP LLC |
| Address |
20 Tower Court C Gurnee IL 60031-5711 |
| Phone Number | 8472442960 |
| Gender | M |
| Credential | MD |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 5193857423 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140084 | VISTA MEDICAL CENTER EAST |
| 140202 | ADVOCATE CONDELL MEDICAL CENTER |
| 140010 | NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL |
| 140130 | NORTHWESTERN LAKE FOREST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 20 Tower Court C, Gurnee, IL 60031-5711 | 8472442960 | ILLINOIS GASTROENTEROLOGY GROUP LLC |
| 806 Central Ave, Suite 202, Highland Park, IL 60035-5613 | 8474339840 | ILLINOIS GASTROENTEROLOGY GROUP LLC |
| Organization Legal Name | ILLINOIS GASTROENTEROLOGY GROUP LLC |
| Physicians | 71 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fred B Rosenberg | Gastroenterology | Illinois Gastroenterology Group LLC | 20 Tower Court C, Gurnee, IL 60031-5711 |
| Vincent C Muscarello | Gastroenterology | Illinois Gastroenterology Group LLC | 1415 S Arlington Heights Rd, Arlington Heights, IL 60005-3765 |
| Lynn Casey Maher | Certified Registered Nurse Anesthetist (crna) | Illinois Gastroenterology Group LLC | 101 S Waukegan Rd, Suite 980, Lake Bluff, IL 60044-3013 |
| Rajesh S Pillai | Gastroenterology | Illinois Gastroenterology Group LLC | 1425 N Randall Rd, Elgin, IL 60123-2300 |
| Sonia S Godambe | Gastroenterology | Illinois Gastroenterology Group LLC | 1425 N Randall Rd, Elgin, IL 60123-2300 |
| Bruce D Greenberg | Gastroenterology | Illinois Gastroenterology Group LLC | 800 W Central Rd, Arlington Heights, IL 60005-2349 |
| Jeff T Victor | Gastroenterology | Illinois Gastroenterology Group LLC | 800 W Central Rd, Arlington Heights, IL 60005-2349 |
| Walter R Glaws | Gastroenterology | Illinois Gastroenterology Group LLC | 20 Tower Court C, Gurnee, IL 60031-5711 |
| Daksesh B Patel | Gastroenterology | Illinois Gastroenterology Group LLC | 800 Austin St, Suite 403, Evanston, IL 60202-3444 |
| David J Sales | Gastroenterology | Illinois Gastroenterology Group LLC | 800 W Central Rd, Arlington Heights, IL 60005-2349 |
| Street Address |
20 TOWER COURT C |
| City | GURNEE |
| State | IL |
| Zip | 60031-5711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fred B Rosenberg | Gastroenterology | Illinois Gastroenterology Group LLC | 20 Tower Court C, Gurnee, IL 60031-5711 |
| Walter R Glaws | Gastroenterology | Illinois Gastroenterology Group LLC | 20 Tower Court C, Gurnee, IL 60031-5711 |
| Violetta E Markaryan | Nurse Practitioner | Illinois Gastroenterology Group LLC | 20 Tower Court C, Gurnee, IL 60031-5711 |
| Amit D Kalra | Gastroenterology | Illinois Gastroenterology Group LLC | 20 Tower Court C, Gurnee, IL 60031-5711 |
| Everette P Kirch | Gastroenterology | Illinois Gastroenterology Group LLC | 20 Tower Court C, Gurnee, IL 60031-5711 |
| Cynthia A Wait | Gastroenterology | Illinois Gastroenterology Group LLC | 20 Tower Court C, Gurnee, IL 60031-5711 |
| Jonathan A Rosenberg | Gastroenterology | Illinois Gastroenterology Group LLC | 20 Tower Court C, Gurnee, IL 60031-5711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda J Caplan | Family Medicine | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Rebecca E Jacobson | Obstetrics/gynecology | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Lauren E Rosen | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Esther Y Liu | Family Medicine | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Erik B Pauls | Physician Assistant | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Smitha K. John | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Brenda Y Kim | Obstetrics/gynecology | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Rajiv K Udani | Hospitalist | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Nancy A Nora | Nephrology | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Therese A Hughes | Obstetrics/gynecology | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Find all physicians in zip 60031 | |||
| City | GURNEE |
| Zip Code | 60031 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | GURNEE + GASTROENTEROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.