John a Lavaccare MD SC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

036099823 Issued in IL

Legal business name

JOHN A LAVACCARE MD SC

Practice address

1555 Barrington Rd
205
Hoffman Estates, IL 60169-1019

Phone

(847) 939-5169

Fax

(847) 939-5169

NPI assigned

Jan 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. John Lavaccare, M.D.NPI 1073588802

Title

President

Phone

(847) 939-5169

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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

• John Lavaccare, MD

  • Neurology Physician
  • Hoffman Estates, IL
  • NPI 1073588802
  Medicare reassignment Authorized official
• Anna M. Bonadonna, MD

  • Gynecology Physician
  • Skokie, IL
  • NPI 1700814126
  NPD (past)
• Jennifer Lavaccare, MD

  • Family Medicine Physician
  • Park Ridge, IL
  • NPI 1700981693
  NPD (past)

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1356589345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600680419",
            "telephone_number": "847-939-5169",
            "fax_number": "847-939-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 BARRINGTON RD",
            "address_2": "205",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691019",
            "telephone_number": "847-939-5169",
            "fax_number": "847-939-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A LAVACCARE MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "LAVACCARE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-939-5169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036099823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Ji
• Kwan Bo Jin, M.D.
• Stefani Anjeli Jivkova
• Joel Stolar M.D.S.C.
• Jane Ann Joerin, CADC, CCMHC, LCPC
• John Michon, MD, SC
• Alan D Johnson, M.D.
• Erik Lee Johnson, MD
• Kirsten Johnson
• Lars A Johnson, DDS

• Neurology Physician in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.