KIM M CARNAZZOLA MD SC
NPI 1902104037
Family Medicine in Libertyville, IL

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since March 15, 2011

1860 W WINCHESTER RD, SUITE 109, LIBERTYVILLE, IL 60048(847) 996-0607(847) 996-0608 Get Directions Write a Review

NPPES record last updated: April 19, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kim M Carnazzola Md Sc NPPES

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

KIM M CARNAZZOLA MD SC (NPI 1902104037) is a healthcare organization registered as a family medicine in Libertyville, Illinois and active in the NPI registry since March 2011. The organization lists Kim M Carnazzola, President, as its authorized official.

NPPES Registry Identity

NPI1902104037

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameKIM M CARNAZZOLA MD SC

Location Address1860 W WINCHESTER RD, SUITE 109Libertyville, IL 60048-5351

Mailing Address1860 W Winchester Rd, Suite 109Libertyville, IL 60048-5351 · (847) 996-0607 · Fax (847) 996-0608

Phone(847) 996-0607

Fax(847) 996-0608

Organization SubpartNo

Authorized OfficialKim M CarnazzolaPresident · (847) 996-0607

Enumeration DateMarch 15, 2011

Last NPPES UpdateApril 19, 2012

✔ NPI 1902104037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036085955

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.

1860 W WINCHESTER RD, Libertyville, IL 60048

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Other Identifiers 1

Medicare UPING20602

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