Individual provider Active NPI

Peter M MC Cool, MD

  • Emergency Medicine Physician
  • Lake Forest, IL
National Provider Identifier
1306044847
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036117732 Issued in IL
Practice address
1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
Phone
(847) 234-5600
NPI assigned
Jul 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 50916 WI
Emergency Medicine Physician 207P00000X 036117732 IL Primary

Addresses

Primary practice location

1000 N Westmoreland Rd
Lake Forest, IL 60045-1658

Mailing address

680 N Lake Shore Dr Ste 1000
Chicago, IL 60611-8709
Phone (312) 926-4723

Other practice location 1

430 E Division St
Fond Du Lac, WI 54935-4560
Phone (920) 929-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071025000076 WI Practitioner - Emergency Medicine 3274620133 Reassigns benefits to 10 organizations
I20101129000094 IL Practitioner - Emergency Medicine 3274620133 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Wisconsin School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

401 W Mohawk Dr
Suite 100
Tomahawk, WI 54487-2273
Phone (715) 361-2000

Hospital & facility affiliations

  • Aspirus Tomahawk Hospital Hospital, Tomahawk, WI, CCN 521313
  • Aspirus Medford Hospital & Clinics, Inc Hospital, Medford, WI, CCN 521324
  • Aspirus Rhinelander Hospital Hospital, Rhinelander, WI, CCN 520019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036117732ILMDEmergency Medicine Physician
50916WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Statera Health Care, LLC Emergency Medicine CurrentSince Jan 1, 2021 Accepting new patients
Integritas Emergency Physician Services, LLC Emergency Medicine CurrentSince Jan 1, 2021 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Jun 10, 2022 Accepting new patients
Aspirus Eagle River Hospital, Inc. Emergency Medicine CurrentSince Jun 10, 2022 Accepting new patients
The Howard Young Medical Center, Inc. Emergency Medicine Current Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Jun 10, 2022 Accepting new patients
App of Illinois Ed PLLC Emergency Medicine CurrentSince Sep 25, 2018 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jun 10, 2022 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jun 10, 2022 Accepting new patients
Crawford Hospital District CurrentSince Apr 29, 2019 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. Current Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Apr 1, 2018 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jun 10, 2022 Accepting new patients
Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin Emergency Medicine CurrentSince Jun 10, 2022 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Jun 10, 2022 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. Emergency Medicine CurrentSince Jun 10, 2022 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin Current Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Jun 10, 2022 Accepting new patients
Rockford Health Physicians CurrentSince Jun 15, 2016 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Jun 10, 2022 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Apr 1, 2018 Accepting new patients
Crawford Hospital District CurrentSince Apr 29, 2019 Accepting new patients
Crawford Hospital District Current Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Jun 10, 2022 Accepting new patients
Langlade Memorial Hospital Past Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. Past Accepting new patients

Locations

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

Dept 5777
Carol Stream, IL 60122

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

29980 Network Pl
Chicago, IL 60673

680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022

100 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 252-4956

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

1000 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6150

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

1050 Red Oak Ln
Lindenhurst, IL 60046
Phone (847) 356-4700

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Organizations & group practices 27

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 27

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1306044847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR STE 1000",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606118709",
            "telephone_number": "312-926-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N WESTMORELAND RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451658",
            "telephone_number": "847-234-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 E Division St",
            "address_purpose": "LOCATION",
            "city": "Fond Du Lac",
            "state": "WI",
            "postal_code": "549354560",
            "country_code": "US",
            "telephone_number": "920-929-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MC COOL",
        "first_name": "PETER",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "50916",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036117732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

Verify at the official NPI Registry.