First Diagnostic Consultants PC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

238.000103 Issued in IL

Legal business name

FIRST DIAGNOSTIC CONSULTANTS PC

Practice address

810 Prairie LN
Buffalo Grove, IL 60089-1561

Phone

(847) 456-3018

Fax

(847) 537-5544

NPI assigned

Sep 23, 2009

Organization subpart

No

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

Authorized official

Name

Sergey Efim Glikin, MD

Title

President

Phone

(847) 456-3018

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1689908659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 PRAIRIE LN",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891561",
            "telephone_number": "847-456-3018",
            "fax_number": "847-537-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 PRAIRIE LN",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891561",
            "telephone_number": "847-456-3018",
            "fax_number": "847-537-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST DIAGNOSTIC CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "GLIKIN",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_middle_name": "EFIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-456-3018",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "238.000103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Dale Ferstein
• Mark Figueroa
• Hal Filian, LCSW
• Tamara Finegan, ALMFT
• Elonna Finkle, M.D.
• Jordan Fishkin
• Muriel Flanders, LCSW
• Michael Flannery
• Sherry Fleydervish
• Focused Eye Care LLC

• Surgical Physician Assistant in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Surgical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.