Carola J Nesbitt, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036078696 Issued in IL

Practice address

3 Galleon CT
Third Lake, IL 60030-2633

Phone

(847) 223-2732

NPI assigned

Oct 12, 2011

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 12, 2011.

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1881979797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GALLEON CT",
            "city": "THIRD LAKE",
            "state": "IL",
            "postal_code": "600302633",
            "telephone_number": "847-223-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GALLEON CT",
            "city": "THIRD LAKE",
            "state": "IL",
            "postal_code": "600302633",
            "telephone_number": "847-223-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESBITT",
        "first_name": "CAROLA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036078696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nataliya Korniychuk, DMD
• Lake County Crisis Center for the Prevention and Treatment of Domestic
• Reinaldo Martinez, DDS
• Joshua Moore, PT,DPT
• Nataliya Korniychuk DMD LTD
• Colby Nollin
• Olga L Thurman DDS LTD
• Damian Paciorek
• Steve Paraskos, PHARMD
• Timothy Mark Robinson, ED.D.

• All providers in Third Lake, IL
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.