Organization Active NPI

Lake Zurich Medical Associates LTD

  • Internal Medicine Physician
  • Lake Zurich, IL
National Provider Identifier
1760694152
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LAKE ZURICH MEDICAL ASSOCIATES LTD
Practice address
290 N Rand Rd
Suite a
Lake Zurich, IL 60047-2213
Phone
(847) 438-2454
Fax
(847) 438-2462
NPI assigned
May 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Barry W Berger, D.O.
Title
Owner
Phone
(847) 438-2454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X IL Primary

Addresses

Primary practice location

290 N Rand Rd
Suite a
Lake Zurich, IL 60047-2213

Mailing address

290 N Rand Rd
Suite a
Lake Zurich, IL 60047-2213
Phone (847) 438-2454

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1760694152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 N RAND RD",
            "address_2": "SUITE A",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472213",
            "telephone_number": "847-438-2454",
            "fax_number": "847-438-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 N RAND RD",
            "address_2": "SUITE A",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472213",
            "telephone_number": "847-438-2454",
            "fax_number": "847-438-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE ZURICH MEDICAL ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-05",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-438-2454",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Zurich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.