Medventures Medical LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

MEDVENTURES MEDICAL LLC

Practice address

225 Edward St
Sycamore, IL 60178-2137

Phone

(815) 786-3060

Fax

(815) 786-8701

NPI assigned

Mar 1, 2007

Last updated

Jan 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas C. Liske, MD,F.C. C.P.NPI 1790752988

Title

Doctor

Phone

(815) 786-3060

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Crosby Liske, M.D.

  • Pulmonary Disease Physician
  • Sandwich, IL
  • NPI 1790752988
  Authorized official Same address or phone
• David A Sutton, P.A. - C

  • Physician Assistant
  • Naperville, IL
  • NPI 1083685572
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1093843062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 SANDHURST DR",
            "address_2": "SUITE 2",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605481186",
            "telephone_number": "815-786-3060",
            "fax_number": "815-786-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 EDWARD ST",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601782137",
            "telephone_number": "815-786-3060",
            "fax_number": "815-786-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDVENTURES MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "LISKE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "815-786-3060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,F.C. C.P."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FOXLAND RESPIRATORY NPI #",
            "identifier": "1912056284",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. THOMAS LISKE NPI #",
            "identifier": "1790752988",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "1932096",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisandra Maria McCrystal
• John McMillen, D.D.S.
• Rebecca Anne Mecca
• Medical Outsourcing Solutions, Inc.
• Isamar Medina, MSW
• Meera Kataria Atkins, MD, SC
• Meijer Great Lakes Limited Partnership (Meijer Pharmacy #313)
• Kim Meinke
• Teresa Melton, D.C., L.AC.
• Memory Care Communities of Illinois, LLC

• Pulmonary Disease Physician in Sycamore, IL
• Providers in Sycamore, IL by specialty
• Pulmonary Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.