NPIMap

Individual provider Active NPI

Daniel Joseph Lynch, M.D.

  • Family Medicine Physician
  • Libertyville, IL
National Provider Identifier
1477548782
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036077341 Issued in IL
Practice address
1850 W Winchester Rd
Suite 220
Libertyville, IL 60048-5355
Phone
(847) 362-9050
Fax
(847) 362-9486
NPI assigned
Sep 13, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036077341 IL Primary

Addresses

Primary practice location

1850 W Winchester Rd
Suite 220
Libertyville, IL 60048-5355

Mailing address

1850 W Winchester Rd
Suite 220
Libertyville, IL 60048-5355
Phone (847) 362-9050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120224000826 IL Practitioner - General Practice 9436317245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Rush Medical College of Rush University, 1988
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1850 W Winchester Rd
Suite 220
Libertyville, IL 60048-5355
Phone (847) 362-9050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.25 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036077341ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Assoc Physicians of Libertyville CurrentSince Jan 1, 2001 Accepting new patients

Locations

1850 W Winchester Rd
Libertyville, IL 60048

1850 W Winchester Rd
Ste 220
Libertyville, IL 60048
Phone (847) 360-1000

Interoperability endpoints

  • Direct secure messaging: dlynch234516@direct.myadvocateaurora.org

Organizations & group practices 1

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

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477548782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 W WINCHESTER RD",
            "address_2": "SUITE 220",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485355",
            "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": "600485355",
            "telephone_number": "847-362-9050",
            "fax_number": "847-362-9486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036077341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.