Individual provider Active NPI

John J Munsell, M.D.

  • Internal Medicine Physician
  • Lake Bluff, IL
National Provider Identifier
1700893153
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036050117 Issued in IL
Practice address
101 Waukegan Rd
Suite 1200
Lake Bluff, IL 60044-3012
Phone
(847) 295-8500
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036050117 IL Primary

Addresses

Primary practice location

101 Waukegan Rd
Suite 1200
Lake Bluff, IL 60044-3012

Mailing address

101 Waukegan Rd
Suite 1200
Lake Bluff, IL 60044-3012
Phone (847) 295-8500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmunsell234718@direct.northshore.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050823000691 IL Practitioner - Internal Medicine 2163453812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2650 Ridge Ave
Evanston, IL 60201-1700

71 Waukegan Rd
Suite 700
Lake Bluff, IL 60044-1614
Phone (224) 364-2273

Hospital & facility affiliations

  • Residential Home Health Home health agency, Northbrook, IL, CCN 147001
  • Assure Home Healthcare, Inc Home health agency, Libertyville, IL, CCN 147794
  • Aspire Home Healthcare, LLC Home health agency, Morton Grove, IL, CCN 148139
  • Centerwell Home Health II Home health agency, Buffalo Grove, IL, CCN 147979
  • Reliable Home Care Provider, Inc Home health agency, Lincolnshire, IL, CCN 148194
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130
  • Advocate Condell Medical Center Hospital, Libertyville, IL, CCN 140202
  • Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Lake Forest Place Nursing home, Lake Forest, IL, CCN 145986

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036050117ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group Internal Medicine CurrentSince Sep 1, 2012 Accepting new patients
Endeavor Health Medical Group CurrentSince Sep 1, 2012 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

71 Waukegan Rd
Ste 900
Lake Bluff, IL 60044

71 Waukegan Rd
Ste 800
Lake Bluff, IL 60044
Phone (847) 295-8500

71 Waukegan Rd
Ste 700
Lake Bluff, IL 60044
Phone (224) 251-2020

71 Waukegan Rd
Ste 100
Lake Bluff, IL 60044
Phone (847) 283-0950

101 Waukegan Rd
Ste 1200
Lake Bluff, IL 60044
Phone (847) 234-4405

Interoperability endpoints

  • Direct secure messaging: jmunsell234718@direct.northshore.org

Organizations & group practices 2

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

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1700893153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WAUKEGAN RD",
            "address_2": "SUITE 1200",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600443012",
            "telephone_number": "847-295-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WAUKEGAN RD",
            "address_2": "SUITE 1200",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600443012",
            "telephone_number": "847-295-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNSELL",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036050117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmunsell234718@direct.northshore.org",
            "affiliation": "N",
            "address_1": "101 Waukegan Rd",
            "address_2": "SUITE 1200",
            "city": "Lake Bluff",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600443012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Bluff, IL

Sources for this page

Verify at the official NPI Registry.