Harold L Evans (NPI# 1386967776, PAC ID# 4688790108) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1386967776 |
| PAC ID by PECOS | 4688790108 |
| Professional Enrollment ID | I20140626002285 |
| Full Name | Harold L Evans |
| Organization Legal Name | LAKE SHORE PATHOLOGISTS SC |
| Address |
1324 N Sheridan Rd Waukegan IL 60085-2161 |
| Phone Number | 8473604162 |
| Gender | M |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 1254319528 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140084 | VISTA MEDICAL CENTER EAST |
| Address | Phone | Organization |
|---|---|---|
| 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 8473604162 | LAKE SHORE PATHOLOGISTS SC |
| 2615 Washington St, Waukegan, IL 60085-4980 | 8472493900 | LAKE SHORE PATHOLOGISTS SC |
| Organization Legal Name | LAKE SHORE PATHOLOGISTS SC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Himani D Dalia | Pathology | Lake Shore Pathologists Sc | 2615 Washington St, Waukegan, IL 60085-4980 |
| Srinidhi Musunuri | Pathology | Lake Shore Pathologists Sc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Street Address |
1324 N SHERIDAN RD |
| City | WAUKEGAN |
| State | IL |
| Zip | 60085-2161 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adeel Kamal | Physician Assistant | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Josia N Henry | Internal Medicine | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Haili Campanella | Nurse Practitioner | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Jeffrey B Helwig | Emergency Medicine | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| James Song | Diagnostic Radiology | Vista Imaging Associates Sc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| David N Zull | Emergency Medicine | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Wei Wei | Physician Assistant | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Marina A Sodagar | Physician Assistant | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Sara Ferrera | Emergency Medicine | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Robert Paul Cafe | Nurse Practitioner | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas M Winslow | Chiropractic | 1390 N Green Bay Rd, Waukegan, IL 60085-1104 | |
| Paolo Mercado | Nurse Practitioner | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Smita Singh | Internal Medicine | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Todd William Arbiture | Emergency Medicine | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Kenji Oyasu | Emergency Medicine | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Calvin B Terrell | Emergency Medicine | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Gerald Holtz | Diagnostic Radiology | Vista Imaging Associates Sc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Lea R Wrobel | Emergency Medicine | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Amber Servatius | Internal Medicine | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Rajyalakshmi M Gannu | Internal Medicine | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Find all physicians in zip 60085 | |||
| City | WAUKEGAN |
| Zip Code | 60085 |
| Specialty | PATHOLOGY |
| City + Specialty | WAUKEGAN + PATHOLOGY |
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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.