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LIBERTYVILLE OBGYN S.C.
NPI 1578612677
Obstetrics & Gynecology in Libertyville, IL

Active since January 09, 2007
890 GARFIELD AVE, 104, LIBERTYVILLE, IL 60048(847) 367-0022(847) 680-0696 Get Directions Write a Review

NPPES record last updated: February 13, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Libertyville Obgyn S.c. NPPES

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

LIBERTYVILLE OBGYN S.C. (NPI 1578612677) is a healthcare organization registered as an obstetrics & gynecology in Libertyville, Illinois and active in the NPI registry since January 2007. The organization lists Vincenzo Padovano, President, as its authorized official.

NPPES Registry Identity

NPI1578612677
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameLIBERTYVILLE OBGYN S.C.
Location Address890 GARFIELD AVE, 104Libertyville, IL 60048-4723
Mailing Address890 Garfield Ave, 104Libertyville, IL 60048-4723 · (847) 367-0022 · Fax (847) 680-0696
Phone(847) 367-0022
Fax(847) 680-0696
Organization SubpartNo
Authorized OfficialVincenzo PadovanoPresident · (847) 367-0022
Enumeration DateJanuary 9, 2007
Last NPPES UpdateFebruary 13, 2013
✔ NPI 1578612677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 042617217
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
890 GARFIELD AVE, Libertyville, IL 60048
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Other Identifiers 3

Other042617217IL · Registered Medical Corp
Other04923732IL · Bcbs
Medicare UPINF90379IL

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 14

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

GASTROENTEROLOGY CONSULTANTS OF LIBERTYVILLE LTD
Internal Medicine (Gastroenterology)
890 GARFIELD AVE, SUITE 103
LIBERTYVILLE, IL 60048
Lake County (847) 680-5858
RUTH MCGAHA ACNP
Clinical Nurse Specialist (Acute Care)
890 GARFIELD AVE, SUITE 209
LIBERTYVILLE, IL 60048
Lake County (847) 328-1853
MR. RYAN JOSEPH HOUSNER PA-C
Physician Assistant (Surgical)
890 GARFIELD AVE, SUITE 101
LIBERTYVILLE, IL 60048
Lake County (847) 990-5636
THE LIBERTYVILLE SURGEONS, S C
Specialist
890 GARFIELD AVE, SUITE 203
LIBERTYVILLE, IL 60048
Lake County (847) 367-1800
BURTON MILLER, M.D., S.C.
Surgery
890 GARFIELD AVE, 206
LIBERTYVILLE, IL 60048
Lake County (847) 367-1070
DR. ROBERT A HADESMAN M.D.
Internal Medicine (Gastroenterology)
890 GARFIELD AVE, STE 103
LIBERTYVILLE, IL 60048
Lake County (847) 680-5858
DR. KRISTIN NICOLE VERCILLO M.D.
Colon & Rectal Surgery
890 GARFIELD AVE
LIBERTYVILLE, IL 60048
Lake County (847) 816-7495
OB/GYNE ASSOCIATES OF LAKE COUNTY, S.C.
Clinic/Center (Medical Specialty)
890 GARFIELD AVE, SUITE 200
LIBERTYVILLE, IL 60048
Lake County (847) 549-1818

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 Libertyville Obgyn S.C.'s NPI number?

The NPI number for Libertyville Obgyn S.C. is 1578612677. It was assigned to this organization in the NPPES registry on January 9, 2007.

Where is Libertyville Obgyn S.C. located?

Libertyville Obgyn S.C. is located at 890 Garfield Ave 104, Libertyville, IL 60048. The listed phone number is (847) 367-0022.

What is Libertyville Obgyn S.C.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Libertyville Obgyn S.C. was last updated on February 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.