Willow Oak Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

WILLOW OAK PEDIATRICS

Practice address

1900 Hollister Dr
Suite 330
Libertyville, IL 60048-5233

Phone

(847) 362-2500

Fax

(847) 362-5151

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Donald H Fisher, MD

Title

Owner/President

Phone

(847) 362-2500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ronit Katznelson, M.D.

  • Pediatrics Physician
  • Bannockburn, IL
  • NPI 1033105895
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1194802835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HOLLISTER DR",
            "address_2": "SUITE 330",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485233",
            "telephone_number": "847-362-2500",
            "fax_number": "847-362-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 HOLLISTER DR",
            "address_2": "SUITE 330",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485233",
            "telephone_number": "847-362-2500",
            "fax_number": "847-362-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW OAK PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "847-362-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlyn R Williams, MA, LCPC
• Erica R Williams, OTR/L
• Hannah Ellen Williams, FNP-C, APRN
• Karlee Williams, LSW
• Matthew Williams, LCSW
• Kristin Wilson, SLP
• Winchester Aesthetic Surgical Suite, SC
• Winchester Ambulatory Surgery Center LLC
• Winchester Endoscopy Center
• Winchester Endoscopy, LLC

• Pediatrics Physician in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.