Assoc Physicians of Libertyville

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ASSOC PHYSICIANS OF LIBERTYVILLE

Practice address

1850 W Winchester Rd
Suite 220
Libertyville, IL 60048-5357

Phone

(847) 362-9050

Fax

(847) 362-9486

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Daniel J. Lynch, M.D.NPI 1477548782

Title

Owner

Phone

(847) 362-9050

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Daniel Joseph Lynch, M.D.

  • Family Medicine Physician
  • Libertyville, IL
  • NPI 1477548782
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376675686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 W WINCHESTER RD",
            "address_2": "SUITE220",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485357",
            "telephone_number": "847-362-9050",
            "fax_number": "847-362-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W WINCHESTER RD",
            "address_2": "SUITE 220",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485357",
            "telephone_number": "847-362-9050",
            "fax_number": "847-362-9486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOC PHYSICIANS OF LIBERTYVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-362-9050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley Arthur, MSW, LSW
• Armenak Asatryan, M.D.
• Kailey Ascher
• Jenna Ashley
• Sandy B Asoofi, MSW
• Associated Neurology, S.C.
• Assure Home Assist, Inc.
• Assure Home Healthcare Inc
• Assure Hospice LLC
• Asta M Astrauskas, M.D.

• Primary Care Clinic/Center in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.