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

Active since October 04, 2007
1870 W WINCHESTER RD, SUITE 112, LIBERTYVILLE, IL 60048(847) 816-7495(847) 816-7497 Get Directions Write a Review

NPPES record last updated: October 1, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Surgeons Of Lake County Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURGEONS OF LAKE COUNTY LLC (NPI 1417145301) is a healthcare organization registered as a surgery in Libertyville, Illinois and active in the NPI registry since October 2007. The organization lists Scott Christopher Otto, President, as its authorized official.

NPPES Registry Identity

NPI1417145301
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSURGEONS OF LAKE COUNTY LLC
Location Address1870 W WINCHESTER RD, SUITE 112Libertyville, IL 60048-5358
Mailing Address1870 W Winchester Rd, Suite 112Libertyville, IL 60048-5358 · (847) 816-7495 · Fax (847) 816-7497
Phone(847) 816-7495
Fax(847) 816-7497
Organization SubpartNo
Authorized OfficialScott Christopher OttoPresident · (847) 816-7495
Enumeration DateOctober 4, 2007
Last NPPES UpdateOctober 1, 2009
✔ NPI 1417145301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036109065
Definition
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.
1870 W WINCHESTER RD, Libertyville, IL 60048
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA L FUGGITI CCC-SLP/L
Speech-Language Pathologist
1870 W WINCHESTER RD, SUITE 203
LIBERTYVILLE, IL 60048
Lake County (847) 816-7200
MARGOT GREENWALD CCC-SLP
Speech-Language Pathologist
1870 W WINCHESTER RD, SUITE 203
LIBERTYVILLE, IL 60048
Lake County (847) 816-7200
LAUREN KLISKA OTR/L
Occupational Therapist
1870 W WINCHESTER RD, STE 203
LIBERTYVILLE, IL 60048
Lake County (847) 816-7200
HILARY KUGLER CF-SLP/L
Speech-Language Pathologist
1870 W WINCHESTER RD, STE 203
LIBERTYVILLE, IL 60048
Lake County (847) 816-7200
RAFA S ADI MD LTD
Internal Medicine
1870 W WINCHESTER RD, SUITE 246
LIBERTYVILLE, IL 60048
Lake County (847) 362-5344
DR. WILLIAM A MARTINEZ MD
Family Medicine
1870 W WINCHESTER RD, SUITE 145
LIBERTYVILLE, IL 60048
Lake County (847) 996-0700
ROSEMARY H TENTES OTR/L
Occupational Therapist
1870 W WINCHESTER RD, SUITE 203
LIBERTYVILLE, IL 60048
Lake County (847) 816-7200
NORTH SUBURBAN HEALTH CARE LTD
Internal Medicine
1870 W WINCHESTER RD, SUITE 248
LIBERTYVILLE, IL 60048
Lake County (847) 913-9434

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Surgeons Of Lake County LLC's NPI number?

The NPI number for Surgeons Of Lake County LLC is 1417145301. It was assigned to this organization in the NPPES registry on October 4, 2007.

Where is Surgeons Of Lake County LLC located?

Surgeons Of Lake County LLC is located at 1870 W Winchester Rd Suite 112, Libertyville, IL 60048. The listed phone number is (847) 816-7495.

What is Surgeons Of Lake County LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Surgeons Of Lake County LLC was last updated on October 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.