LAKE FOREST INTERNAL MEDICINE, LTD
NPI 1871786731
Internal Medicine in Libertyville, IL
NPI Status: Active since August 23, 2007
Contact Information
1800 HOLLISTER DR
STE 211
LIBERTYVILLE, IL
ZIP 60048
Phone: (847) 816-3084
Fax: (847) 816-0031
- Organization
- Internal Medicine
- Accepts Insurance
- CLIA Number: 14D0993499
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-14-2025
About LAKE FOREST INTERNAL MEDICINE, LTD
This page provides the complete NPI Profile along with additional information for Lake Forest Internal Medicine, Ltd, an internist established in Libertyville, Illinois operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1871786731 assigned on August 2007. The practitioner's primary taxonomy code is 207R00000X with license number 042617582 (IL). The provider is registered as an organization and their NPI record was last updated 13 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. Elliot F Miller M.d. (Vice President/ Treasurer)
- NPI
- 1871786731
- Provider Name
- LAKE FOREST INTERNAL MEDICINE, LTD
- Entity Type
- Organization
- Location Address
- 1800 HOLLISTER DR STE 211 LIBERTYVILLE, IL 60048
- Location Phone
- (847) 816-3084
- Location Fax
- (847) 816-0031
- Mailing Address
- 1800 HOLLISTER DR STE 211 LIBERTYVILLE, IL 60048
- Mailing Phone
- (847) 816-3084
- Mailing Fax
- (847) 816-0031
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-23-2007
- Last Update Date
- 10-24-2012
- Code Navigator
An internist like Lake Forest Internal Medicine, Ltd is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 042617582
- License State
- IL
- Taxonomy Description
- 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.
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:
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D0993499
- Facility Type
- Physician Office
- Certificate Effective Date
- November 15, 2023
- Certificate Expiration Date
- November 14, 2025
- Laboratory Director
- MARK W. RIEDERMAN MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Lake Forest Internal Medicine, Ltd in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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. | |||||||||
| 1 | 8 | 7 | 1 | 7 | 8 | 6 | 7 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 14 | 1 | 14 | 8 | 12 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 4 + 1 + 1 + 4 + 8 + 1 + 2 + 7 + 6 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1871786731 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 |
|---|---|---|---|
| 1508862384 | DR. RONALD LEE FREEMAN M.D. Individual | Ophthalmology | 1800 HOLLISTER DR SUITE 205 LIBERTYVILLE, IL 60048 (847) 573-9055 |
| 1609876770 | RENI S. BUTLER M.D. Individual | Radiology (Diagnostic Radiology) | 1800 HOLLISTER DR SUITE G-18 LIBERTYVILLE, IL 60048 (847) 918-1462 |
| 1376539718 | DR. MONIKA MCLAIN MD Individual | Internal Medicine | 1800 HOLLISTER DR SUITE 102 LIBERTYVILLE, IL 60048 (847) 680-3666 |
| 1891781142 | MS. LISA D'ANDREA PA-C Individual | Physician Assistant (Medical) | 1800 HOLLISTER DR SUITE 102 LIBERTYVILLE, IL 60048 (847) 680-3666 |
| 1093701294 | DR. LISA ANNE NEWMAN MD Individual | Family Medicine | 1800 HOLLISTER DR SUITE 102 LIBERTYVILLE, IL 60048 (847) 680-3666 |
| 1538155734 | MRS. ELIZA EVA M. GRANT CNP Individual | Nurse Practitioner (Family) | 1800 HOLLISTER DR SUITE 102 LIBERTYVILLE, IL 60048 (847) 680-3666 |
| 1144217142 | GLOBAL MEDICAL IMAGING, SC Organization | Radiology (Diagnostic Radiology) | 1800 HOLLISTER DR SUITE G-18 LIBERTYVILLE, IL 60048 (847) 918-1462 |
| 1023090925 | NORTH SHORE ONCOLOGY-HEMATOLOGY ASSOCIATES, LTD. Organization | Internal Medicine (Hematology & Oncology) | 1800 HOLLISTER DR SUITE 112 LIBERTYVILLE, IL 60048 (847) 367-6781 |
| 1922080399 | DR. ROBERT AARON BREIT M.D. Individual | Radiology (Neuroradiology) | 1800 HOLLISTER DR SUITE G-18 LIBERTYVILLE, IL 60048 (847) 918-1462 |
| 1649257163 | GREGORY PAUL JACKSON MD Individual | Specialist | 1800 HOLLISTER DR SUITE G-18 LIBERTYVILLE, IL 60048 (847) 968-5300 |
| 1467439448 | PAMELA L HENRY O.T. Individual | Occupational Therapist | 1800 HOLLISTER DR SUITE 205 LIBERTYVILLE, IL 60048 (847) 918-7947 |
| 1891757720 | BRUCE WILLIAM IRWIN M.D. Individual | Anesthesiology (Pain Medicine) | 1800 HOLLISTER DR SUITE 206 LIBERTYVILLE, IL 60048 (847) 549-1609 |
| 1669424974 | M.L. SAVITT INC Organization | Ophthalmology | 1800 HOLLISTER DR SUITE 111 LIBERTYVILLE, IL 60048 (847) 573-9055 |
| 1053363705 | JENNIFER GIARRATANA NP Individual | Nurse Practitioner (Adult Health) | 1800 HOLLISTER DR SUITE 112 LIBERTYVILLE, IL 60048 (847) 367-6781 |
| 1164463782 | MRS. BRENDA R GREENE CRNA Individual | Anesthesiologist Assistant | 1800 HOLLISTER DR SUITE 202 LIBERTYVILLE, IL 60048 (847) 549-6473 |
| 1295776748 | JEFF S ARNOLD D.C. Individual | Chiropractor | 1800 HOLLISTER DR SUITE 206 LIBERTYVILLE, IL 60048 (847) 549-1609 |
| 1952416018 | MRS. LINDA S TAYLOR APN Individual | Nurse Practitioner | 1800 HOLLISTER DR SUITE 206 LIBERTYVILLE, IL 60048 (847) 549-1609 |
| 1396852224 | FOOT CARE GROUP PC Organization | Podiatrist | 1800 HOLLISTER DR STE 109 LIBERTYVILLE, IL 60048 (847) 362-8848 |
| 1578673828 | GRAND OAKS ANESTHESIA PC Organization | Specialist | 1800 HOLLISTER DR #202 LIBERTYVILLE, IL 60048 (847) 549-1609 |
| 1558462267 | MRS. MYLA C TEEMER PT Individual | Physical Therapist | 1800 HOLLISTER DR STE 205 LIBERTYVILLE, IL 60048 (847) 918-7947 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871786731, enumerated in the NPI registry as an "organization" on August 23, 2007
The provider is located at 1800 Hollister Dr Ste 211 Libertyville, Il 60048 and the phone number is (847) 816-3084
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Aetna CVS Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 14D0993499 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on August 23, 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.