Organization Active NPI

Lake County General and Vascular Surgical Associates, P.C.

  • Surgery Physician
  • Gurnee, IL
National Provider Identifier
1245318567
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
LAKE COUNTY GENERAL AND VASCULAR SURGICAL ASSOCIATES, P.C.
Practice address
1 S Greenleaf St Ste a
Gurnee, IL 60031-3370
Phone
(847) 856-2525
Fax
(847) 856-1969
NPI assigned
Nov 2, 2006
Last updated
Dec 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Authorized official

Name
Sheila M Casteel
Title
Office Manager
Phone
(847) 856-2525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1 S Greenleaf St Ste a
Gurnee, IL 60031-3370

Mailing address

1 S Greenleaf St
Suite a
Gurnee, IL 60031-3370
Phone (847) 856-2525

Electronic endpoints 6

TypeEndpointUseAffiliation
Direct Messaging Address pstrohmayer237932@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address aaron.siegel@lcsp.eclinicaldirectplus.com Direct
Direct Messaging Address asiegel237902@direct.myadvocateaurora.org Direct
Direct Messaging Address Paul.Strohmayer@lcsp.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041026000262 IL Part B Supplier - Clinic/Group Practice 1557322237 Receives reassigned benefits from 2 practitioners
Practice locations: Gurnee, IL

National Provider Directory

National Provider Directory

Locations

1445 N Hunt Club Rd
Ste 103
Gurnee, IL 60031
Phone (515) 223-0592

1425 N Hunt Club Rd
Ste 103
Gurnee, IL 60031
Phone (847) 856-2525

1 S Greenleaf St
Ste A
Gurnee, IL 60031
Phone (847) 662-8201

2645 Washington St
Ste 405
Waukegan, IL 60085
Phone (847) 249-2525

Interoperability endpoints

  • Direct secure messaging: asiegel237902@direct.myadvocateaurora.org

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1245318567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S GREENLEAF ST",
            "address_2": "SUITE A",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313370",
            "telephone_number": "847-856-2525",
            "fax_number": "847-856-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S GREENLEAF ST STE A",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313370",
            "telephone_number": "847-856-2525",
            "fax_number": "847-856-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTY GENERAL AND VASCULAR SURGICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "CASTEEL",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-856-2525"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pstrohmayer237932@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1 S Greenleaf St Ste A",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600313370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1 S Greenleaf St Ste A",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600313370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1 S Greenleaf St Ste A",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600313370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aaron.siegel@lcsp.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1 S Greenleaf St Ste A",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600313370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asiegel237902@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1 S Greenleaf St Ste A",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600313370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Paul.Strohmayer@lcsp.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1 S Greenleaf St Ste A",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600313370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.