Individual provider Active NPI

Daniel Kirschner, MD

  • Family Medicine Physician
  • Round Lake Beach, IL
National Provider Identifier
1730167529
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036106171 Issued in IL
Practice address
2 E Rollins Rd
Round Lake Beach, IL 60073-3808
Phone
(847) 740-2500
NPI assigned
Jan 3, 2006
Last updated
Dec 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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 036106171 IL Primary

Addresses

Primary practice location

2 E Rollins Rd
Round Lake Beach, IL 60073-3808

Mailing address

2 E Rollins Rd
Round Lake Beach, IL 60073-3808

Other practice location 1

1754 W Golf Rd
Mount Prospect, IL 60056-4071
Phone (847) 952-7447

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address dkirschner236534@direct.myadvocateaurora.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
I20040515000438 IL Practitioner - Family Practice 2163412693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Chicago College of Medicine and Surgery, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake County Acute Care LLPGroup PAC ID 5395747281, 17 clinicians

Practice addresses (Care Compare)

1445 Hunt Club Rd
Suite 101
Gurnee, IL 60031-5257
Phone (847) 249-2800

150 W Half Day Rd
Buffalo Grove, IL 60089-6591
Phone (847) 215-0000

2 E Rollins Rd
Round Lake Beach, IL 60073-3808
Phone (847) 740-2500

6 E Phillip Rd
Vernon Hills, IL 60061-1700
Phone (847) 680-0500

6440 Grand Ave
Gurnee, IL 60031-5257
Phone (847) 855-0550

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake County Acute Care, LLP Family Medicine CurrentSince Aug 1, 2008 Accepting new patients
Lake County Acute Care, LLP Family Medicine CurrentSince Aug 1, 2008 Accepting new patients
Lake County Acute Care, LLP Family Medicine Current Accepting new patients
Advocate Condell Medical Center Past Accepting new patients
Physicians Immediate Care North Chicago LLC PastSince Apr 7, 2013 Accepting new patients
Alexian Brothers Corporate Health Services Past Accepting new patients
Fastrac Medical, P.C. Past Accepting new patients

Locations

150 W Half Day Rd
Buffalo Grove, IL 60089
Phone (847) 215-0000

150 W Half Day Rd
Ste 204
Buffalo Grove, IL 60089
Phone (847) 955-2866

1445 N Hunt Club Rd
Ste 101
Gurnee, IL 60031
Phone (847) 438-1779

2 E Rollins Rd
Round Lake Beach, IL 60073
Phone (847) 546-5800

6 E Phillip Rd
Ste 1102
Vernon Hills, IL 60061
Phone (847) 680-0500

200 Corporate Blvd
Lafayette, LA 70508

Organizations & group practices 7

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 3

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": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1730167529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E ROLLINS RD",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600733808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E ROLLINS RD",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600733808",
            "telephone_number": "847-740-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1754 W Golf Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Prospect",
            "state": "IL",
            "postal_code": "600564071",
            "country_code": "US",
            "telephone_number": "847-952-7447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRSCHNER",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036106171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2 E Rollins Rd",
            "city": "Round Lake Beach",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600733808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dkirschner236534@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "2 E Rollins Rd",
            "city": "Round Lake Beach",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600733808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Round Lake Beach, IL

Sources for this page

Verify at the official NPI Registry.