Individual provider Active NPI

Anatoliy Pyslar

  • Psychiatry Physician
  • North Chicago, IL
National Provider Identifier
1003146267
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036130419 Issued in IL
Practice address
3333 Green Bay Rd
North Chicago, IL 60064-3095
Phone
(847) 578-3000
NPI assigned
Jan 10, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036130419 IL Primary

Addresses

Primary practice location

3333 Green Bay Rd
North Chicago, IL 60064-3095

Mailing address

9350 Skokie Blvd
#308
Skokie, IL 60077-1385
Phone (216) 255-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130318000398 IL Practitioner - PsychiatryPractitioner - Neurology 6800031048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of LakeGroup PAC ID 7214838861, 42 clinicians

Practice addresses (Care Compare)

18698 W Peterson Rd
Libertyville, IL 60048-1052
Phone (847) 377-8800

3002 Grand Ave
Waukegan, IL 60085-2321
Phone (847) 377-8180

3004 Grand Ave
Waukegan, IL 60085-2321
Phone (847) 377-8120

3010 Grand Ave
Waukegan, IL 60085-2321
Phone (847) 377-4650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
County of Lake Current Accepting new patients

Locations

18698 W Peterson Rd
Libertyville, IL 60048
Phone (847) 377-4871

2400 Belvidere Rd
Waukegan, IL 60085
Phone (847) 377-8400

3010 Grand Ave
Waukegan, IL 60085
Phone (847) 377-8296

Interoperability endpoints

  • Direct secure messaging: anatoliy.pyslar.p1@direct.lakecountyil.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1003146267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 SKOKIE BLVD",
            "address_2": "#308",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771385",
            "telephone_number": "216-255-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 GREEN BAY RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600643095",
            "telephone_number": "847-578-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYSLAR",
        "first_name": "ANATOLIY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-10",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036130419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chicago, IL

Sources for this page

Verify at the official NPI Registry.