Doris Madrigal, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-0227620 Issued in IL

Practice address

1228 N Cedar Lake Rd
Suite C
Round Lake Beach, IL 60073-2556

Phone

(847) 740-8827

Fax

(847) 740-7388

NPI assigned

Sep 1, 2006

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1154423127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 N CROOKED LAKE LANE",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600466438",
            "telephone_number": "847-265-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 N CEDAR LAKE RD",
            "address_2": "SUITE C",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600732556",
            "telephone_number": "847-740-8827",
            "fax_number": "847-740-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRIGAL",
        "first_name": "DORIS",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-0227620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002800-102967",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lake County Acute Care, LLP
• Lake County Crisis Center for the Prevention and Treatment of Domestic
• Nicholas Lecoure
• Jing-Shing Liu
• Joseph Lynn, DPT
• Diana Maniev, M.D.
• Amy C Maplethorpe
• Meijer Great Lakes Limited Partnership
• Midwestern Institute of Health LTD
• Teresita Mismanos, MD

• General Practice Dentistry in Round Lake Beach, IL
• Providers in Round Lake Beach, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.