Michael P Viglione, MD PHD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

036108789 Issued in IL

Practice address

660 North Westmoreland
Lake Forest Hospital
Lake Forest, IL 60045-1696

Phone

(847) 234-0049

Fax

(847) 234-1946

NPI assigned

Mar 14, 2006

Last updated

Dec 16, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00197
• FHIR API: https://fhir4.healow.com/fhir/r4/BCHJAA

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

• Ab Dermatology LLC

  • Dermatology Physician
  • Arlington Heights, IL
  • NPI 1285043646
  Medicare reassignment NPD
• Christina G Steil Dermatology LTD

  dba CSC Dermatology

  • Dermatology Physician
  • Hinsdale, IL
  • NPI 1437404951
  Medicare reassignment NPD
• Deerfield Dermatology Associates, LTD.

  • Dermatology Physician
  • Deerfield, IL
  • NPI 1225127244
  Medicare reassignment NPD
• Dermatology Partners of the North Shore LLC

  • Dermatology Physician
  • Northbrook, IL
  • NPI 1114063591
  Medicare reassignment NPD
• FMGC, S.C.

  • Gastroenterology Physician
  • Addison, IL
  • NPI 1578691846
  Medicare reassignment NPD
• Lake Shore Dermatology, LTD.

  • Dermatology Physician
  • Park City, IL
  • NPI 1902977937
  Medicare reassignment NPD
• North Shore Center for Medical Aesthetics, LTD.

  • Dermatology Physician
  • Northbrook, IL
  • NPI 1508901307
  Medicare reassignment NPD
• North Shore Urogynecology LTD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Park City, IL
  • NPI 1013021922
  Medicare reassignment NPD
• Schaumburg Dermatology SC

  • Dermatology Physician
  • Schaumburg, IL
  • NPI 1609987171
  Medicare reassignment NPD
• Dermatology Specialists of Illinois, LTD

  • Dermatology Physician
  • Algonquin, IL
  • NPI 1144610080
  Medicare reassignment
• Gastroenterologists LTD

  • Gastroenterology Physician
  • Libertyville, IL
  • NPI 1891993606
  Medicare reassignment
• Algonquin Family Chiropractic LTD.

  • Chiropractor
  • Algonquin, IL
  • NPI 1336696889
  NPD

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1073581146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMITTANCE DRIVE",
            "address_2": "STE 1895",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606751895",
            "telephone_number": "847-234-0049",
            "fax_number": "847-234-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 NORTH WESTMORELAND",
            "address_2": "LAKE FOREST HOSPITAL",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451696",
            "telephone_number": "847-234-0049",
            "fax_number": "847-234-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGLIONE",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036108789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00067649",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0361087891",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Verges, MD
• Marissa Jane Versalle, DO
• Victoria Kut MD LTD
• David Vigder, MD
• Mariana Vigiola Cruz, MD
• Courtney Keene Viscomi, PSYD, BCBA
• Kathryn Vitale, MSN, APN, AGCNS-BC
• Katherine Lynn Voigt, PA-C
• Halle Cecilia Voos, MA, CCC-SLP
• Marianne P. Vuckovich, R.K.T.

• Anatomic Pathology & Clinical Pathology Physician in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.