Cynthia L Bartholow MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036 081882 Issued in IL

Legal business name

CYNTHIA L BARTHOLOW MD PC

Practice address

1921 Lake Ave Ste B
Wilmette, IL 60091-1480

Phone

(847) 853-9100

Fax

(847) 853-9103

NPI assigned

Feb 19, 2010

Organization subpart

No

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

Authorized official

Name

Cynthia L Bartholow, MD

Title

Owner

Phone

(847) 853-9100

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332547200000",
    "number": "1265754154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 LAKE AVE STE B",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911480",
            "telephone_number": "847-853-9100",
            "fax_number": "847-853-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 LAKE AVE STE B",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911480",
            "telephone_number": "847-853-9100",
            "fax_number": "847-853-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA L BARTHOLOW MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2012-03-24",
        "status": "A",
        "authorized_official_last_name": "BARTHOLOW",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-853-9100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036 081882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PROVIDER PTAN",
            "identifier": "1102355559",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IL5671001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin L Corrado, PT, DPT
• James Patrick Costello, O.D.
• Craig S Kohler DDS Mba Magd LTD
• Addison Anne Curran
• Gillian Angela Curran, MA LCSW
• Alexander Czop, LPC
• D C Optics LTD
• Craig James Daggett, PHARM D
• Jill Randall Danaher, D.M.D.
• Katelyn Anne Dato-on, DO

• Internal Medicine Physician in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2012; 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.