Family Medicine for McHenry County

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY MEDICINE FOR MCHENRY COUNTY

Practice address

1095 Pingree Rd
Suite 108
Crystal Lake, IL 60014-1725

Phone

(847) 658-2400

Fax

(847) 658-7755

NPI assigned

Jan 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Lesser, MDNPI 1760593032

Title

President

Phone

(847) 658-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Lesser, MD

  • Family Medicine Physician
  • Crystal Lake, IL
  • NPI 1760593032
  Medicare reassignment Care Compare group NPD Authorized official
• Ashley Lynn Drake, APRN

  • Family Nurse Practitioner
  • Crystal Lake, IL
  • NPI 1487347159
  Medicare reassignment Care Compare group NPD
• Allison Anne Teliszczak, CNP

  • Family Nurse Practitioner
  • Crystal Lake, IL
  • NPI 1679941819
  Medicare reassignment Care Compare group NPD
• Cynthia Macdonald, DNP

  • Family Nurse Practitioner
  • Crystal Lake, IL
  • NPI 1609988187
  Medicare reassignment NPD

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1174503510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1588",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600391588",
            "telephone_number": "847-658-2400",
            "fax_number": "847-658-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 PINGREE RD",
            "address_2": "SUITE 108",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141725",
            "telephone_number": "847-658-2400",
            "fax_number": "847-658-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE FOR MCHENRY COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "LESSER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-658-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "5615119",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Evenson, OTR/L
• Evolve Chiropractic Crystal Lake PLLC
• Extra Hands, Inc.
• Eye Boutique, LLC
• Family Health Partnership
• Sana Fayyaz, MD
• Katherine M Fee, LPC
• Michael I Feinberg, RPH
• Kristin Fell
• Dalilah Rose Fernandez

• Family Medicine Physician in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.