Family Care of Lake County S.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY CARE OF LAKE COUNTY S.C.

Practice address

500 Park Ave
Ste 104
Lake Villa, IL 60046-6556

Phone

(847) 245-8700

Fax

(847) 245-8771

NPI assigned

Aug 26, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Eugene Pomeranets, MDNPI 1770579005

Title

Owner/MD

Phone

(847) 245-8700

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Eugene A Pomeranets, MD

  • Family Medicine Physician
  • Lake Villa, IL
  • NPI 1770579005
  Medicare reassignment NPD Authorized official
• Semyon Maslovsky, MD

  • Family Medicine Physician
  • Lake Villa, IL
  • NPI 1508855040
  Medicare reassignment NPD
• Jill Colleen Zupansic, APN, FNP-BC

  • Family Nurse Practitioner
  • Lake Villa, IL
  • NPI 1346810488
  Medicare reassignment NPD

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640217600000",
    "number": "1861485658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PARK AVE",
            "address_2": "STE 104",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600466556",
            "telephone_number": "847-245-8700",
            "fax_number": "847-245-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PARK AVE",
            "address_2": "STE 104",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600466556",
            "telephone_number": "847-245-8700",
            "fax_number": "847-245-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE OF LAKE COUNTY S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A",
        "authorized_official_last_name": "POMERANETS",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "847-245-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Nichole Eckhart, APRN
• Anna Michelle Edmiston, M.D.
• Embrace Behavioral Health
• Elizabeth Ericksen, LPC
• Eugene Pomeranets M.D.S.C.,
• Joel Keith Fish, D.C.
• Shontae L Fisher
• Thomas Joseph Forman
• Laura Franz
• G. Neil Garrett DDS PC

• Family Medicine Physician in Lake Villa, IL
• Providers in Lake Villa, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.