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EUGENE POMERANETS M.D.S.C.,
NPI 1679056618
Family Medicine in Lake Villa, IL

Active since September 14, 2018CLIA 14D2155164 · Waiver
500 PARK AVE STE 104, LAKE VILLA, IL 60046(847) 245-8700(847) 245-8771 Get Directions Write a Review

NPPES record last updated: September 14, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eugene Pomeranets M.d.s.c., NPPES

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

EUGENE POMERANETS M.D.S.C., (NPI 1679056618) is a healthcare organization registered as a family medicine in Lake Villa, Illinois and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through September 24, 2026 and lists Cindy Schaller, Manager, as its authorized official.

NPPES Registry Identity

NPI1679056618
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEUGENE POMERANETS M.D.S.C.,
Location Address500 PARK AVE STE 104Lake Villa, IL 60046-6550
Mailing Address500 Park Ave Ste 104Lake Villa, IL 60046-6550 · (847) 245-8700 · Fax (847) 245-8771
Phone(847) 245-8700
Fax(847) 245-8771
Organization SubpartNo
Authorized OfficialCindy SchallerManager · (847) 245-8700
Enumeration DateSeptember 14, 2018
✔ NPI 1679056618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
500 PARK AVE STE 104, Lake Villa, IL 60046
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2155164

Eugene Pomeranets M D S C · Lake Villa, IL
Active · expires Sep 24, 2026
CLIA Number14D2155164
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2024
Certificate Expiration DateSeptember 24, 2026
Laboratory DirectorEugene Pomeranets M D
Laboratory Phone(847) 245-8700
Laboratory LocationEugene Pomeranets M D S C500 Park Ave - Ste 104, Lake Villa, IL 60046
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MRS. JILL COLLEEN ZUPANSIC APN, FNP-BC
Nurse Practitioner (Family)
500 PARK AVE STE 104
LAKE VILLA, IL 60046
Lake County (847) 245-8700

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 Eugene Pomeranets M.D.S.C.,'s NPI number?

The NPI number for Eugene Pomeranets M.D.S.C., is 1679056618. It was assigned to this organization in the NPPES registry on September 14, 2018.

Where is Eugene Pomeranets M.D.S.C., located?

Eugene Pomeranets M.D.S.C., is located at 500 Park Ave Ste 104, Lake Villa, IL 60046. The listed phone number is (847) 245-8700.

What is Eugene Pomeranets M.D.S.C.,'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Eugene Pomeranets M.D.S.C., hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2155164) is associated with this NPI, valid through September 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eugene Pomeranets M.D.S.C., was last updated on September 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.