LAKE VILLA INTERNAL MEDICINE
NPI 1861457558
Internal Medicine in Lake Villa, IL

Active since April 18, 2006
50 S MILWAUKEE AVE, STE 104, LAKE VILLA, IL 60046(847) 356-2700(847) 356-2777 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lake Villa Internal Medicine NPPES

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

LAKE VILLA INTERNAL MEDICINE (NPI 1861457558) is a healthcare organization registered as an internal medicine in Lake Villa, Illinois and active in the NPI registry since April 2006. The organization lists Corrado Ugolini, President, as its authorized official.

NPPES Registry Identity

NPI1861457558
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLAKE VILLA INTERNAL MEDICINE
Location Address50 S MILWAUKEE AVE, STE 104Lake Villa, IL 60046
Mailing Address50 S Milwaukee Ave, Ste 104Lake Villa, IL 60046 · (847) 356-2700 · Fax (847) 356-2777
Fax(847) 356-2777
Organization SubpartNo
Authorized OfficialCorrado UgoliniPresident · (847) 356-2700
Enumeration DateApril 18, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1861457558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

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.

50 S MILWAUKEE AVE, Lake Villa, IL 60046

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 14D1037224

Lake Villa Dialysis · Lake Villa, IL
Active · expires Feb 16, 2027
CLIA Number14D1037224
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateFebruary 17, 2025
Certificate Expiration DateFebruary 16, 2027
Laboratory DirectorOmar Dalloul
Laboratory Phone(773) 276-2380
Laboratory LocationLake Villa Dialysis37809 N Route 59, Lake Villa, IL 60046
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Pediatrics (Adolescent Medicine)
50 S MILWAUKEE AVE, SUITE 203
LAKE VILLA, IL 60046
Physical Therapist
50 S MILWAUKEE AVE, SUITE 201
LAKE VILLA, IL 60046
Physical Therapist
50 S MILWAUKEE AVE, SUITE 201 COMMUNITY REHABILITATION
LAKE VILLA, IL 60046
Occupational Therapist
50 S MILWAUKEE AVE, SUITE 201
LAKE VILLA, IL 60046
Orthopaedic Surgery
50 S MILWAUKEE AVE, STE 201
LAKE VILLA, IL 60046
Nurse Practitioner (Family)
50 S MILWAUKEE AVE
LAKE VILLA, IL 60046

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861457558, enumerated as an "organization" on April 18, 2006.

The provider is located at 50 S MILWAUKEE AVE STE 104 LAKE VILLA, IL 60046 and the phone number is (847) 356-2700.

Internal Medicine with taxonomy code 207R00000X.