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

Q: What is Kim M Carnazzola MD Sc's NPI number?

The NPI number for Kim M Carnazzola MD Sc is 1902104037. It was assigned to this organization in the NPPES registry on March 15, 2011.

Q: What is Kim M Carnazzola MD Sc's specialty?

The primary specialty registered for this NPI 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: August 09, 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

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.

JESSICA ROSE

Behavior Analyst

1860 W WINCHESTER RD
LIBERTYVILLE, IL 60048

Lake County (847) 573-9486

TIMOTHY WILE

Counselor (Mental Health)

1860 W WINCHESTER RD
LIBERTYVILLE, IL 60048

Lake County (847) 816-6335

CHRISTINE NICOLE FRIEDRICHS M.S., CCC-SLP

Speech-Language Pathologist

1860 W WINCHESTER RD, SUITE 108
LIBERTYVILLE, IL 60048

Lake County (847) 573-9486

JETZIBIE RIOS

Behavior Technician

1860 W WINCHESTER RD
LIBERTYVILLE, IL 60048

Lake County (847) 573-9486

DR. OMAR DALLOUL M.D.

Internal Medicine (Nephrology)

1860 W WINCHESTER RD, STE 107
LIBERTYVILLE, IL 60048

Lake County (847) 247-1010

MRS. DEVIDA MICHELLE BRAVERMAN M.A., CCC-SLP

Speech-Language Pathologist

1860 W WINCHESTER RD
LIBERTYVILLE, IL 60048

Lake County (847) 573-9486

LAURA HEXAMER

Occupational Therapist (Pediatrics)

1860 W WINCHESTER RD, SUITE 108
LIBERTYVILLE, IL 60048

Lake County (847) 573-9486

REBECCA KAYLEEN SHAPIRO

Counselor (Mental Health)

1860 W WINCHESTER RD
LIBERTYVILLE, IL 60048

Lake County (847) 816-6335

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 Kim M Carnazzola MD Sc's NPI number?

The NPI number for Kim M Carnazzola MD Sc is 1902104037. It was assigned to this organization in the NPPES registry on March 15, 2011.

Where is Kim M Carnazzola MD Sc located?

Kim M Carnazzola MD Sc is located at 1860 W Winchester Rd Suite 109, Libertyville, IL 60048. The listed phone number is (847) 996-0607.

What is Kim M Carnazzola MD Sc's specialty?

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

When was this NPI record last updated?

The NPPES record for Kim M Carnazzola MD Sc was last updated on April 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.