SURGEONS OF LAKE COUNTY LLC
NPI 1417145301
Surgery in Libertyville, IL

NPI Status: Active since October 04, 2007

Contact Information

1870 W WINCHESTER RD
SUITE 112
LIBERTYVILLE, IL
ZIP 60048
Phone: (847) 816-7495
Fax: (847) 816-7497

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  • Organization
  • Surgery
  • Accepts Insurance

About SURGEONS OF LAKE COUNTY LLC

This page provides the complete NPI Profile along with additional information for Surgeons Of Lake County Llc, a provider established in Libertyville, Illinois operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1417145301 assigned on October 2007. The practitioner's primary taxonomy code is 208600000X with license number 036109065 (IL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Scott Christopher Otto M.d. (President)

NPI
1417145301
Provider Name
SURGEONS OF LAKE COUNTY LLC
Entity Type
Organization
Location Address
1870 W WINCHESTER RD SUITE 112 LIBERTYVILLE, IL 60048
Location Phone
(847) 816-7495
Location Fax
(847) 816-7497
Mailing Address
1870 W WINCHESTER RD SUITE 112 LIBERTYVILLE, IL 60048
Mailing Phone
(847) 816-7495
Mailing Fax
(847) 816-7497
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2007
Last Update Date
10-01-2009
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A surgeon like Surgeons Of Lake County Llc treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
036109065
License State
IL
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SCOTT CHRISTOPHER OTTO M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(847) 816-7495

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1417145301
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2427241030
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 2 + 4 + 1 + 0 + 3 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1417145301 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1487727327LYNDA RODEN DOSC
Organization
Internal Medicine1870 W WINCHESTER RD STE 143
LIBERTYVILLE, IL 60048
(847) 549-7777
1407922677YURY M SHKLYAR MD PC
Organization
Family Medicine1870 W WINCHESTER RD SUITE 144
LIBERTYVILLE, IL 60048
(847) 680-1200
1699966135AMY ZIER & MEGAN CARRICK PEDIATRIC THERAPY, LLC
Organization
Specialist1870 W WINCHESTER RD UNIT 243
LIBERTYVILLE, IL 60048
(847) 573-9236
1740514140EMERGENCY SURGICAL SERVICES OF LAKE COUNTY LLC
Organization
Surgery (Trauma Surgery)1870 W WINCHESTER RD SUITE 112
LIBERTYVILLE, IL 60048
(224) 513-5239
1801126628MRS. DEBORAH DAVIS SLP
Individual
Speech-Language Pathologist1870 W WINCHESTER RD SUITE 203
LIBERTYVILLE, IL 60048
(847) 816-7200
1669702395MRS. ALISSA NIXON SLP
Individual
Speech-Language Pathologist1870 W WINCHESTER RD SUITE 203
LIBERTYVILLE, IL 60048
(847) 816-7210
1619293511 KATIE MCFADDEN CCC-SLP
Individual
Speech-Language Pathologist1870 W WINCHESTER RD SUITE 203
LIBERTYVILLE, IL 60048
(847) 816-7200
1073839973 MARGOT GREENWALD CCC-SLP
Individual
Speech-Language Pathologist1870 W WINCHESTER RD SUITE 203
LIBERTYVILLE, IL 60048
(847) 816-7200
1184918419 ROSEMARY H TENTES OTR/L
Individual
Occupational Therapist1870 W WINCHESTER RD SUITE 203
LIBERTYVILLE, IL 60048
(847) 816-7200
1891089124 WHITNEY ROSE MILLER M.A. C.C.C.-SLP/L
Individual
Speech-Language Pathologist1870 W WINCHESTER RD SUITE 203
LIBERTYVILLE, IL 60048
(847) 816-7200
1710274162 KARI JO BROWN OTR/L
Individual
Occupational Therapist1870 W WINCHESTER RD SUITE 203
LIBERTYVILLE, IL 60048
(847) 816-7200
1508133067 KRISTEN ELIZABETH TEAGUE MS, CCC-SLP/L
Individual
Speech-Language Pathologist1870 W WINCHESTER RD SUITE 203
LIBERTYVILLE, IL 60048
(847) 816-7200
1013271774 ALYSSA L FUGGITI CCC-SLP/L
Individual
Speech-Language Pathologist1870 W WINCHESTER RD SUITE 203
LIBERTYVILLE, IL 60048
(847) 816-7200
1265774707 KATHY MICHALAK CCC-SLP
Individual
Speech-Language Pathologist1870 W WINCHESTER RD STE 203
LIBERTYVILLE, IL 60048
(847) 816-7200
1083956205 LAUREN KLISKA OTR/L
Individual
Occupational Therapist1870 W WINCHESTER RD STE 203
LIBERTYVILLE, IL 60048
(847) 816-7200
1114269347 HILARY KUGLER CF-SLP/L
Individual
Speech-Language Pathologist1870 W WINCHESTER RD STE 203
LIBERTYVILLE, IL 60048
(847) 816-7200
1558440404DR. YURY M SHKLYAR M.D.
Individual
Family Medicine1870 W WINCHESTER RD SUITE 144
LIBERTYVILLE, IL 60048
(847) 680-1200
1689087926 PATRICIA BRESS SLP
Individual
Speech-Language Pathologist1870 W WINCHESTER RD 203
LIBERTYVILLE, IL 60048
(847) 816-7200
1669871471 KATHERINE BOWERS LPC
Individual
Counselor (Professional)1870 W WINCHESTER RD
LIBERTYVILLE, IL 60048
(847) 816-7200
1538568969 LAUREN KRAPF
Individual
Speech-Language Pathologist1870 W WINCHESTER RD 203
LIBERTYVILLE, IL 60048
(847) 816-7200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417145301, enumerated in the NPI registry as an "organization" on October 04, 2007

The provider is located at 1870 W Winchester Rd Suite 112 Libertyville, Il 60048 and the phone number is (847) 816-7495

This medical organization specializes in Surgery with taxonomy code 208600000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 04, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.