Deerfield Healthworks S C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036089110 Issued in IL

Legal business name

DEERFIELD HEALTHWORKS S C

Practice address

2525 Waukegan Rd
Bannockburn, IL 60015-5514

Phone

(847) 940-3800

NPI assigned

Nov 12, 2007

Last updated

Apr 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bernard Lakemaker, DONPI 1548273253

Title

DO

Phone

(847) 590-1500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bernard Eric Lakemaker, DO

  • Family Medicine Physician
  • Bannockburn, IL
  • NPI 1548273253
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1497935027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 WAUKEGAN RD",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600155514",
            "telephone_number": "847-940-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 WAUKEGAN RD",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600155514",
            "telephone_number": "847-940-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERFIELD HEALTHWORKS S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "LAKEMAKER",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "847-590-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036089110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089110",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Crawford, D.O.
• Elizabeth M. Croley, LPC
• Peter Cui
• David Jeremy Davidson, MD
• Amanda L. Deboy, LPC, PMH-C
• Caroline Degroot, MPT
• Dentistryone of Illinois PC
• Paula T Dicanio, PHD.
• Susan A Dote, DPT
• Lisa Dvorak, LPC

• Family Medicine Physician in Bannockburn, IL
• Providers in Bannockburn, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.