Philip G Lambruschi, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

036-065955 Issued in IL

Practice address

350 S 8TH St
West Dundee, IL 60118-2248

Phone

(847) 836-3200

Fax

(847) 836-3204

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1053485508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S 8TH ST",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601182248",
            "telephone_number": "847-836-3200",
            "fax_number": "847-836-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S 8TH ST",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601182248",
            "telephone_number": "847-836-3200",
            "fax_number": "847-836-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBRUSCHI",
        "first_name": "PHILIP",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "IL",
            "license": "036-065955",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-065955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360659551",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice Pulchart Knapp, LCSW
• David C Kolbaba, D.C., CCN, DACBN
• Arash Koochek, M.D.
• James John Kotleba, LIC CLINICAL PSYCHOL
• Klaudia Kulpa-Lindgren, OT
• Armani Lang
• Stephanie Ann Lavalla, PHAMD
• Karen Lee, O.D
• Richard B Leonard, M.D.
• Mary Jean Leslie, LMT

• Specialist in West Dundee, IL
• Providers in West Dundee, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.