Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ihc-Libertyville Emergency Physicians, LLC

Organization Emergency Medicine Physician · NPI 1053423541

Ihc-Libertyville Emergency Physicians, LLC is an Emergency Medicine Physician in Libertyville, Illinois. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

801 S Milwaukee Ave
Libertyville, IL 60048-3204
Phone: (414) 290-6718
Fax: (414) 290-6755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1053423541
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Kondas — Officer · (954) 838-2371
NPI enumeratedAugust 31, 2006
Last updated in NPPESSeptember 16, 2019
Mailing address111 E Wisconsin Ave, Suite 2000, Milwaukee, WI 53202-4815

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