Cole D Lundquist MD SC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036056878 Issued in IL

Legal business name

COLE D LUNDQUIST MD SC

Practice address

1875 Dempster St
Suite 660
Park Ridge, IL 60068-1186

Phone

(847) 590-1500

Fax

(847) 590-1502

NPI assigned

Nov 30, 2010

Organization subpart

No

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

Authorized official

Name

Cole D Lundquist, MD

Title

MD

Phone

(847) 590-1500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1841592607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST",
            "address_2": "SUITE 660",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681186",
            "telephone_number": "847-590-1500",
            "fax_number": "847-590-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST",
            "address_2": "SUITE 660",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681186",
            "telephone_number": "847-590-1500",
            "fax_number": "847-590-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLE D LUNDQUIST MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "LUNDQUIST",
        "authorized_official_first_name": "COLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "847-590-1500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036056878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036056878",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cognitive Behavioral Health Inc
• David Goldsmith Cohen, MD
• Karen Ann Cohen, LCSW
• Kelly Cohen
• Ursula Patricia Colareta Ugarte, M.D.
• Jerome N Colletti
• James A Colombo, MD
• Bernard Colonna
• Kristy L Combs, BC-DMT, LCPC
• Aisling Conaty, MA, ALMFT, LPC

• Dermatology Physician in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.